Individual provider · Type 1 NPI

Amanda Lynn Dick Pedota, PA-C

Physician Assistant · Gresham, OR

NPI number 1831497106 Active

Practice location

2850 SE Powell Valley Rd Ste 100
Gresham, OR 97080-1495

Mailing address

14605 NE Broadway
Portland, OR 97230-4130

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA21501 (CA)
Physician Assistant Primary 363A00000XPA183299 (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 1831497106

Amanda Lynn Dick Pedota, PA-C's National Provider Identifier is 1831497106, issued on Mar 10, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gresham, OR. The record was last updated on Jul 21, 2022.