NPI 1073744769

Dyea L Summers, PAC

Practitioner Medical Physician Assistant Gresham, OR

Practice location

Address: 2850 SE Powell Valley Rd STE 100, Gresham, OR 97080-1495
Phone: (503) 666-5050

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA156263 (OR)

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Registry record

NPI: 1073744769
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2009
Record last updated: 10 Dec 2025

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.