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

Individual provider Surgical Physician Assistant · NPI 1053077867

Rachel Allison Dise, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2021, 5 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2021
Specialties on file
2
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

9135 SW Barnes Rd Ste 238
Portland, OR 97225-6646
Phone: (503) 215-7920
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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 PA207376 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA207376 (OR)

Record details

NPI number1053077867
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 16, 2021
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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