Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831497106 Individual Practitioner Female Practitioner

Amanda Lynn Dick Pedota , PA-C

Physician Assistant • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Amanda Pedota, PA-C is a registered healthcare professional specializing in Physician Assistant in Gresham, OR. Practice services are available at 2850 SE POWELL VALLEY RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2850 Se Powell Valley Rd Ste 100

Gresham, OR 970801495

Telephone 5036665050
Associated Practice Facility / Clinic
🏢 Urgent Care Nw Gresham Pc Facility NPI 1336128321

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
44 Specialists

Practicing in Gresham, OR (2106 Statewide)

Telehealth Adoption Rate
11.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA183299

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CA PA21501

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Edwish Adrien , PA

Physician Assistant

NPI 1003062829

Physician Assistant

Dr. Mark Hosko , MD

General Practice

NPI 1043233570

Doctor of Medicine (M.D.)

Sommer Verley , FNP-C

Nurse Practitioner

NPI 1043617608

Family Nurse Practitioner (Certified)

Dyea Summers , PA-C

Physician Assistant - Medical

NPI 1073744769

Physician Assistant (Certified)

NPI 1154722692

PACERTIFIED

Theresa Jones , PA-C

Physician Assistant

NPI 1154872638

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Physician Assistant (License #PA21501 in CA)

NPI Profile Active August 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2017

Registered at 2850 SE POWELL VALLEY RD STE 100, GRESHAM, OR 970801495 (Tel: 5036665050)

📍
Updated Business Mailing Address August 11, 2017

Registered at 14605 NE BROADWAY, PORTLAND, OR 972304130 (Tel: (510) 910-4924)

👤
Provider Name / Credentials Updated August 11, 2017

Recorded as AMANDA PEDOTA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Physician Assistant (License #PA183299 in OR)

NPI Profile Active April 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2015

Registered at 24276 AIRPORT RD., CHEYENNE RIVER HEALTH CENTER, EAGLE BUTTE, SD 57625 (Tel: 6059647724)

📍
Updated Business Mailing Address April 09, 2015

Registered at 1203 N. ROOSEVELT AVE., BLOOMINGTON, IL 61701 (Tel: 3127710890)

👤
Provider Name / Credentials Updated April 09, 2015

Recorded as AMANDA PEDOTA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2015

Physician Assistant (License #PA21501 in CA)

🟢
Initial NPI Registration & Enumeration March 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831497106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2011
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

14605 Ne Broadway

Portland, OR 972304130

Phone: 5109104924

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.