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Contact Information

SORIN BILAUCA, PAC
940 ROYAL AVE
SUITE 450
MEDFORD, OR97504-6193
 Phone: 541-732-7850
 Fax: 541-732-7851
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SORIN BILAUCA · (Male)

NPI # 1184660748
Status Active
Credentials PAC
Entity Individual
Enumeration date 06/21/2006
Last updated 10/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2824
  • CA License # PA16759
  • AZ Medicaid 794819
  • AZ Other 794819 AHCCCS
  • AZ Other AZ0145440 BCBS AZ
Hospital affiliation(s)
  • PROVIDENCE MEDFORD MEDICAL CENTER - (Acute Care)
    1111 CRATER LAKE AVENUE
    MEDFORD, OR 97504
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
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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