Individual provider · Type 1 NPI

Maria Grompe Moredock, PA

Medical Physician Assistant · Portland, OR

NPI number 1063961282 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-5856 Map

Fax (503) 494-2370

Other practice locations

  • 2730 SW Moody Ave, CL5PA, Portland, OR 97201-5042 · (503) 494-3633
  • 3101 SW Sam Jackson Park Road, Portland, OR 97239 · (503) 221-3424

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPA190467 (OR)

Medical Physician Assistant: Definition to come...

3,910 other providers at this address

Other medical physician assistant providers in Portland

See all in Portland →

About NPI 1063961282

Maria Grompe Moredock, PA's National Provider Identifier is 1063961282, issued on Sep 29, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on May 14, 2025.