Individual ProviderJillian BianchiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011(503) 494-4300PECOS EnrollmentBased on the most recent information from CMS, provider Jillian Bianchi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1649605684Provider TypeIndividualFull NameBianchi, JillianCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date9/10/2013Last Updated9/11/2024Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-4300Fax(503) 494-4323Mailing LocationMailing Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-4300Fax(503) 494-4323Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA187058OregonCode207KA0200XDescriptionAllergy & ImmunologyAllopathic & Osteopathic PhysiciansLicensePA187058OregonCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA187058OregonCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense085.004709Illinois