Eugene Oleg Vakhovsky, PA-C

NPI #1518637016 in Stayton, Oregon

Provider Information

NPI Number: 1518637016
Entity Type: Individual
Name: Eugene Oleg Vakhovsky, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 16, 2021
Last Updated: Dec 16, 2021

Practice Location

Address: 1401 N 10TH AVE STE 200
City: Stayton
State: Oregon
ZIP Code: 97383-1487
Phone: (503) 769-7151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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