| Susan E Rivard-dibenedetto, PA C | |
|
2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | |
| (503) 666-5050 | |
| Not Available |
| Full Name | Susan E Rivard-dibenedetto |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2850 Se Powell Valley Rd, Gresham, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265493399 | NPI | - | NPPES |
| 8377012 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10003271 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA151129 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E Rivard-dibenedetto, PA C Po Box 3777, Portland, OR 97208-3777 Ph: () - | Susan E Rivard-dibenedetto, PA C 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 Ph: (503) 666-5050 |
Ms. Michelle Hatch Linton, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24850 Se Stark, Suite 150, Gresham, OR 97030 Phone: 503-491-0714 Fax: 503-674-2834 | |
Theresa M Rardin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24900 Se Stark St Ste 208, Gresham, OR 97030 Phone: 503-666-8149 | |
Michael Barth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24900 Se Stark St, #205, Gresham, OR 97030 Phone: 503-665-1010 Fax: 503-665-1023 | |
Anna Lee, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 230, Gresham, OR 97030 Phone: 503-488-2600 Fax: 503-465-5468 | |
Katherine Vestakis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 24988 Se Stark St Ste 220, Gresham, OR 97030 Phone: 503-674-1580 | |
Mr. Brandon Jeffrey Parsons, PA-CERTIFIED Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050 Fax: 503-666-1162 | |
Mrs. Theresa Rene Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050 Fax: 503-666-1162 |