- Practice location
- 12123 SW 69TH Ave, Tigard, OR 97223-8514
- Phone
- 971-708-7600
- Fax
- 971-371-5230
- Last updated
- March 5, 2026
Marisa Adlesich is a Physician Assistant based in Tigard, OR. Marisa Adlesich practices in Tigard, OR and has the professional credentials of PA-C. The NPI Number for Marisa Adlesich is 1679047708 and holds a License No. PA203098 (OR). The current practice location address for Marisa Adlesich is 12123 SW 69TH Ave, Tigard, OR 97223-8514 and can be reached out via phone at 971-708-7600 and via fax at 971-371-5230.
Provider Profile Details
- NPI Number
- 1679047708
- Provider Name
- Marisa Adlesich
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12123 SW 69TH Ave, Tigard, OR 97223-8514
- Phone Number
- 971-708-7600
- Fax Number
- 971-371-5230
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Other Names
- Marisa Bertolone-Smith (Former Name)
- Provider Enumeration Date
- January 11, 2019
- Last Update Date
- March 5, 2026
- Certification Date
- March 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12123 SW 69TH Ave
Tigard, OR 97223-8514 - City
- Tigard
- State
- Oregon
- Zip
- 97223-8514
- Phone Number
- 971-708-7600
- Fax Number
- 971-371-5230
Provider Business Mailing Address Details
- Address
- 1498 SE Tech Center Pl Ste 240
Vancouver, WA 98683-5508 - City
- Vancouver
- State
- WA
- Zip
- 98683-5508
- Phone Number
- 360-597-1313
- Fax Number
- 360-597-1413
License Information
- License Number (1)
- PA203098
- License State (1)
- OR
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- PA.0006105
- License State (2)
- CO
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 2314
- License State (3)
- NE
- Taxonomy (3)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Tigard, OR
View all Physician Assistants in Tigard →- Amber L Bowell, PAPhysician Assistant · NPI 1972785814
- Ana Cole, PAPhysician Assistant · NPI 1033998679
- Andrew D Bodmer, PA-CPhysician Assistant · NPI 1083860548
- Angela M Black, PAPhysician Assistant · NPI 1710063110
- Caroline Barker, PAPhysician Assistant · NPI 1770178857
- Heather L Adair, PA-CPhysician Assistant · NPI 1568749539
Frequently Asked Questions
What is the NPI number of Marisa Adlesich, PA-C?
The NPI number of Marisa Adlesich, PA-C is 1679047708. It was assigned on January 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Marisa Adlesich, PA-C?
Marisa Adlesich, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in OR under license number PA203098.
Where does Marisa Adlesich, PA-C practice?
The practice location is 12123 SW 69TH Ave, Tigard, OR 97223-8514. The office can be reached at 971-708-7600 (phone) or 971-371-5230 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679047708 directly on the NPPES registry website.