SUSAN E RIVARD-DIBENEDETTO PA C
NPI 1265493399
Physician Assistant in Gresham, OR

Q: What is Susan Rivard-dibenedetto's NPI number?

The NPI number for Susan Rivard-dibenedetto is 1265493399. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Susan Rivard-dibenedetto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since March 29, 2006

2850 SE POWELL VALLEY RD, GRESHAM, OR 97080(503) 666-5050 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Susan E Rivard-dibenedetto Pa C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN E RIVARD-DIBENEDETTO PA C (NPI 1265493399) is an individual physician assistant in Gresham, Oregon, licensed in Oregon (PA151129) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1265493399

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSUSAN E RIVARD-DIBENEDETTOCredential: PA C

Location Address2850 SE POWELL VALLEY RDGresham, OR 97080-1494

Mailing AddressPo Box 3777Portland, OR 97208-3777

Phone(503) 666-5050

Sole ProprietorNo

Enumeration DateMarch 29, 2006

Last NPPES UpdateFebruary 10, 2017

✔ NPI 1265493399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · PA151129

Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10003271 (WA)

2850 SE POWELL VALLEY RD, Gresham, OR 97080

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Other Identifiers 3

Medicare UPINP27594

Medicaid8377012WA

Medicare ID-Type Unspecified8856071WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

URGENT CARE NW GRESHAM PC

Clinic/Center (Urgent Care)