Individual provider · Type 1 NPI

Marisa Adlesich, PA-C

Physician Assistant · Tigard, OR

NPI number 1679047708 Active

Practice location

12123 SW 69th Ave
Tigard, OR 97223-8514

Call (971) 708-7600 Map

Fax (971) 371-5230

Mailing address

1498 SE Tech Center Pl Ste 240
Vancouver, WA 98683-5508

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA203098 (OR)
Physician Assistant 363A00000XPA.0006105 (CO)
Physician Assistant 363A00000X2314 (NE)

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 1679047708

Marisa Adlesich, PA-C's National Provider Identifier is 1679047708, issued on Jan 11, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tigard, OR. The record was last updated on Mar 5, 2026.