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

Heidi Susanne Dyer, PA-C

Individual provider Medical Physician Assistant · NPI 1922150580

Heidi Susanne Dyer, PA-C is a Physician Assistant in Wilsonville, Oregon. Qualified in 2006, 20 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Oregon.

Years since qualifying
20
Licensed in
ID, OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

29345 SW Town Center Loop E Ste 110
Wilsonville, OR 97070-8486
Phone: (503) 582-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19250 Sw 65th Ave Ste 137, Tualatin, OR 97062-7745 — (503) 413-5702

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01447 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA652 (ID)

Record details

NPI number1922150580
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services