Theresa M Rardin, PA

NPI #1013441997 in Gresham, Oregon

Provider Information

NPI Number: 1013441997
Entity Type: Individual
Name: Theresa M Rardin, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 17, 2017
Last Updated: Apr 17, 2017

Practice Location

Address: 24900 SE STARK ST STE 208
City: Gresham
State: Oregon
ZIP Code: 97030-3382
Phone: (503) 666-8149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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