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

Mrs. Dyea L Summers, PA-C

Individual provider Medical Physician Assistant · NPI 1073744769

Mrs. Dyea L Summers, PA-C is a Physician Assistant in Gresham, Oregon. Qualified in 2011, 15 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
15
Licensed in
OR
In the registry since
2009
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

2850 SE Powell Valley Rd Ste 100
Gresham, OR 97080-1495
Phone: (503) 666-5050
Show map & directions

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

Additional practice locations (1)

  • 4713 N Albina Ave Unit 301, Portland, OR 97217-2605 — (503) 850-2474

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA156263 (OR)

Record details

NPI number1073744769
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2009
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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