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

Charlotte P Gardner, PAC

Individual provider Physician Assistant · NPI 1538241120

Charlotte P Gardner, PAC is a Physician Assistant in Corvallis, Oregon. Qualified in 1988, 38 years ago. Practices with Good Samaritan Hospital Corvallis, a 375-clinician group and accepts Medicare assignment. Licensed in Alaska and Oregon.

Years since qualifying
38
Licensed in
AK, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone: (541) 768-4970
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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 159864 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA201 (AK)

Record details

NPI number1538241120
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Good Samaritan Hospital Corvallis — 375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Corvallis