Pecherskaya, Dzhakhan

Pecherskaya, Dzhakhan is an individual health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-3737. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Pecherskaya, Dzhakhan can be contacted via phone (541) 768-5111.

Contact Information

Primary practice address
3600 Nw Samaritan Dr Corvallis OR 97330-3737
Phone: (541) 768-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD178989 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD178989 Oregon

Profile Details

NPI number 1285998047
LBN Legal business name Pecherskaya, Dzhakhan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Nov 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285998047 NPPES
Oregon MEDICAID 500714985

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