Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN E RIVARD-DIBENEDETTO, PA C
ActivePhysician Assistant · GRESHAM, OR
Registration Details
- NPI Number
- 1265493399
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 29, 2006 (20.077254521149 yrs)
- Last Updated
- Feb 10, 2017
- Licenses
-
PA10003271 (WA)PA151129 (OR)
Practice Information
- Address
-
2850 SE POWELL VALLEY RDGRESHAM, OR, 970801494Browse OR providers · Browse ZIP 97080
- Phone
- 5036665050
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| SARAH TOWNLEY | P.A-C | 1942244140 |
| ROBERT LOUIS FOX | PA | 1194752014 |
| AARON MICHAEL LIERE | — | 1255352985 |
| MS. BRIDGET JEAN MARICK | PAC | 1487771721 |
| MRS. SHANELLE DEANN O'DELL | PA-C | 1679792816 |
| MS. MICHELLE HATCH LINTON | PA | 1003010257 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.