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

Susan E Rivard-Dibenedetto, PAC

Individual provider Medical Physician Assistant · NPI 1265493399

Susan E Rivard-Dibenedetto, PAC is a Medical Physician Assistant in Gresham, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
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
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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 PA151129 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10003271 (WA)

Record details

NPI number1265493399
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 29, 2006
Last updated in NPPESFebruary 10, 2017

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