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

Individual provider Physician Assistant · NPI 1245414978

Gina Marjorie Bawden, PAC is a Physician Assistant in Gresham, Oregon. Qualified in 2007, 19 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
19
Licensed in
CA, OR
In the registry since
2007
Specialties on file
3
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

2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone: (503) 666-5050
Fax: (503) 666-1162
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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 PA01337 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA22873 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1245414978
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 17, 2007
Last updated in NPPESMay 25, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Gresham