Lola Achilova, PA-C
Physician Assistant, Medical in Portland, Oregon
1548546328- Practice location
- 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
- Phone
- 503-418-4500
- Fax
- 503-494-1678
- Last updated
- June 18, 2025
Lola Achilova, PA-C is a Physician Assistant, Medical based in Portland, OR. Lola Achilova, PA-C holds the professional credentials of PA-C. The NPI number for Lola Achilova, PA-C is 1548546328 and holds license No. PA156316 (OR). The current practice location address is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011 and the office can be reached by phone at 503-418-4500 and by fax at 503-494-1678. The NPI was assigned on October 25, 2011 and the record was last updated in NPPES on June 18, 2025.
●Provider Profile Details
- NPI Number
- 1548546328
- Provider Name
- Lola Achilova
- Credential
- PA-C
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Enumeration Date
- October 25, 2011
- Last Update Date
- June 18, 2025
- Certification Date
- June 18, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3181 SW Sam Jackson Park RD
Portland, OR 97239-3011 - City
- Portland
- State
- Oregon
- ZIP
- 97239-3011
- Country
- US
- Phone Number
- 503-418-4500
- Fax Number
- 503-494-1678
✉Business Mailing Address
- Address
- 1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537 - City
- Portland
- State
- OR
- ZIP
- 97201-5537
- Phone Number
- 866-617-6855
- Fax Number
- 503-346-8015
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant, Medical | 363AM0700X | Yes | PA156316 | OR |
| Physician Assistant | 363A00000X | No | PA156316 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Portland, OR
View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Lola Achilova, PA-C?
The NPI number of Lola Achilova, PA-C is 1548546328. It was assigned on October 25, 2011 and is currently active in the NPPES registry.
What is the specialty of Lola Achilova, PA-C?
Lola Achilova, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X) and holds license No. PA156316 (OR).
Where does Lola Achilova, PA-C practice?
The practice location is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011. The office can be reached at 503-418-4500 (phone) or 503-494-1678 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548546328 directly on the NPPES registry website at npiregistry.cms.hhs.gov.