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

Individual provider Physician Assistant · NPI 1679047708

Marisa Adlesich, PA-C is a Physician Assistant in Tigard, Oregon. Qualified in 2018, 8 years ago. Practices with Northwest Cancer Specialists PC, a 69-clinician group and accepts Medicare assignment. Licensed in Colorado, Nebraska and Oregon.

Years since qualifying
8
Licensed in
CO, NE, OR
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12123 SW 69th Ave
Tigard, OR 97223-8514
Phone: (971) 708-7600
Fax: (971) 371-5230
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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 PA203098 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA.0006105 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 2314 (NE)

Record details

NPI number1679047708
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 11, 2019
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address1498 Se Tech Center Pl Ste 240, Vancouver, WA 98683-5508

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northwest Cancer Specialists Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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