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Contact Information

LOLA ACHILOVA, P.A.-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
 Phone: 503-418-4500
 Fax: 503-494-1678
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LOLA ACHILOVA · (Female)

NPI Number 1548546328
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 10/25/2011
Last updated 06/18/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • OR License # PA156316
  • OR Medicaid 500641265
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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