Dyea L Summers, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA156263 Issued in OR

Practice address

2850 SE Powell Valley Rd Ste 100
Gresham, OR 97080-1495

Phone

(503) 666-5050

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsummers312956@oc.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272

  WA

  Medicare reassignment Care Compare group NPD
• Urgent Care NW Gresham PC

  • Urgent Care Clinic/Center
  • Gresham, OR
  • NPI 1336128321
  NPD
• Legacy Salmon Creek Hospital

  • General Acute Care Hospital
  • Vancouver, WA
  • NPI 1700809829
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1073744769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SE POWELL VALLEY RD STE 100",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801495",
            "telephone_number": "503-666-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SE POWELL VALLEY RD STE 100",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801495",
            "telephone_number": "503-666-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4713 N Albina Ave Unit 301",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972172605",
            "country_code": "US",
            "telephone_number": "503-850-2474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "DYEA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA156263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.legacyhealth.org/Patients-and-Visitors/about-your-care/medical-records",
            "affiliation": "N",
            "endpointDescription": "Legacy Health Medical Records Request information",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Medical records request",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical records",
            "address_1": "PO Box 2868",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972082868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David E Strickland, PA-C
• Irene Stringer, MS
• Milaka Stringham, DC
• Mariya Sulakov, ND
• Lindsay Sullivan
• John Kenneth Summerville
• Summit Imaging Inc
• Avery Edele Sundberg Carpenter, SLP
• Sunfire Massage
• Reanna Sunford

• Medical Physician Assistant in Gresham, OR
• Providers in Gresham, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.