IndividualActive
Amanda Pedota, PA-C
NPI 1831497106 · Physician Assistant · Gresham, OR
Provider details
- NPI number
- 1831497106
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA21501 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2850 Se Powell Valley Rd Ste 100
Gresham, OR 97080-1495
Phone: (503) 666-5050
Approximate (ZIP-level) locationGet directions
Mailing address
14605 Ne Broadway
Portland, OR 97230-4130
Registry dates
- Enumerated
- 2011-03-10
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.