THERESA M RARDIN (NPI# 1013441997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013441997 |
| Entity Type | Individual |
| Full Name | THERESA M RARDIN |
| Credential | PA |
| Practice Address |
24900 Se Stark St Ste 208 Gresham OR 97030-3382 |
| Mailing Address |
4432 Ne Cesar E Chavez Blvd Portland OR 97211-8232 |
| Practice Telephone | 5036668149 |
| Mailing Telephone | 5038670019 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA182032 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24900 SE STARK ST STE 208 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891760252 | Robert L Kalez | Urology | 24900 Se Stark St Ste 208, Gresham, OR 97030-3382 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285957407 | Muthoni Kihiko Ehmann | Physician Assistant | 831 Nw Council Suite 300, Gresham, OR 97030 | 2010-03-02 |
| 1750337432 | Danielle Florence Dalessio | Physician Assistant | 2850 Se Powell Valley Rd Ste 100, Attn: Meg Nau, Gresham, OR 97080-1495 | 2006-05-25 |
| 1760090666 | Nicole Weis | Physician Assistant | 2850 Se Powell Valley Rd Ste 100, Gresham, OR 97080-1495 | 2020-07-16 |
| 1831716646 | Arthur Jeffery Nelson | Physician Assistant | 2850 Se Powell Valley Rd Ste 100, Gresham, OR 97080-1495 | 2020-06-26 |
| 1265080006 | Katherine Geller | Physician Assistant | 831 Nw Council Drive, Gresham, OR 97030-3723 | 2019-08-26 |
| 1215582861 | Joshua Gardner Snow | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2019-08-08 |
| 1255802849 | Sandra S Hwang | Physician Assistant | 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 | 2018-12-08 |
| 1134609043 | Jennifer Stephens | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2018-08-20 |
| 1427550367 | Adam Randall Bartling | Physician Assistant | 2850 Se Powell Valley Rd Ste 100, Gresham, OR 97080-1495 | 2018-03-07 |
| 1427584077 | Margeaux Danielle Schmerler | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-05-02 |
| Find all providers in GRESHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.