Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alberto Rodriguez, PA

Individual provider Physician Assistant · NPI 1396993556

Alberto Rodriguez, PA is a Physician Assistant in Vancouver, Washington. Qualified in 2008, 18 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
18
Licensed in
OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

16821 SE McGillivray Blvd
Vancouver, WA 98683-0499
Phone: (360) 433-9580
Fax: (866) 824-5107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01439 (OR)
Physician Assistant Taxonomy 363A00000X · Licence LL18188 (OR)

Record details

NPI number1396993556
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2008
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address728 Molalla Ave A B, Oregon City, OR 97045-2799

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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