Individual
EUGENE OLEG VAKHOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1401 N 10TH AVE STE 200, STAYTON, OR 97383-1487
(503) 769-7151
Mailing address
1401 N 10TH AVE STE 200, STAYTON, OR 97383-1487
(503) 769-7151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/16/2021
Last updated
12/16/2021
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