Individual
MR. DONALD PATRICK LILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8991
Mailing address
6403 COYLE AVE, STE 170, CARMICHAEL, CA 95608-0311
(916) 965-4000
(916) 965-4813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065334
NCCPA CERTIFICATE NUMBER
MI
Enumeration date
05/19/2006
Last updated
01/03/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us