Individual provider · Type 1 NPI

Susan E. Rivard-Dibenedetto, PA C

Physician Assistant · Gresham, OR

NPI number 1265493399 Active

Practice location

2850 SE Powell Valley Rd
Gresham, OR 97080-1494

Call (503) 666-5050 Map

Mailing address

PO Box 3777
Portland, OR 97208-3777

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA10003271 (WA)
Physician Assistant Primary 363A00000XPA151129 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265493399

Susan E. Rivard-Dibenedetto, PA C's National Provider Identifier is 1265493399, issued on Mar 29, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gresham, OR. The record was last updated on Feb 10, 2017.