Individual
MR. DMITRIY VIKTOROVICH VAKULCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7300 SW CHILDS RD STE B, TIGARD, OR 97224-7772
(503) 692-8700
(503) 692-8710
Mailing address
7300 SW CHILDS RD STE B, TIGARD, OR 97224-7772
(503) 692-8700
(503) 692-8710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA227608
OR
Other
Enumeration date
02/25/2026
Last updated
03/12/2026
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