Susan E Rivard-Dibenede in Gresham - Physician Assistant
Susan E Rivard-Dibenede - NPI 1265493399
Susan E Rivard-Dibenede is a Physician Assistant in Gresham, Oregon. Susan E Rivard-Dibenede practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan E Rivard-Dibenede is 1265493399. The last update date is 2017-02-10.
Susan E Rivard-Dibenede's current location address is 2850 Se Powell Valley Rd, Gresham, Oregon. You can contact this provider via phone number 5036665050. The mailing address for Susan E Rivard-Dibenede is 2850 Se Powell Valley Rd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan E Rivard-Dibenede |
|---|---|
| Address | 2850 Se Powell Valley Rd, Gresham, Oregon |
| Phone Number | 5036665050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1265493399 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2017-02-10 |
Provider Mailing Address Detail
| Address | 2850 Se Powell Valley Rd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970801494 |
| Phone Number | 5036665050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA151129 |
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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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8377012 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan E Rivard-Dibenede by the Centers for Medicare & Medicaid Services (CMS)?
The Susan E Rivard-Dibenede has been assigned the NPI (National Provider Identifier) 1265493399. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Susan E Rivard-Dibenede?
The Susan E Rivard-Dibenede is physically situated at 2850 Se Powell Valley Rd, in the city of Gresham, state of OR, with the postal code 970801494.
What is the area of specialization for Susan E Rivard-Dibenede, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan E Rivard-Dibenede is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Susan E Rivard-Dibenede's 1265493399 issued?
The Susan E Rivard-Dibenede's 1265493399 was issued on 2006-03-29.
On what date did the Centers for Medicare & Medicaid Services issue the 1265493399 to Susan E Rivard-Dibenede?
The Susan E Rivard-Dibenede received its 1265493399 assignment from the Centers for Medicare & Medicaid Services on 2006-03-29.