NPI 1013441997

Theresa M Rardin, PA

Practitioner Physician Assistant Gresham, OR

Practice location

Address: 24900 SE Stark St STE 208, Gresham, OR 97030-3382
Phone: (503) 666-8149
Mailing address: 4432 NE Cesar E Chavez Blvd, Portland, OR 97211-8232

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA182032 (OR)

Other Physician Assistant providers in Oregon →

Registry record

NPI: 1013441997
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2017
Record last updated: 17 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.