Marisa Adlesich, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA203098 Issued in OR

Practice address

12123 SW 69TH Ave
Tigard, OR 97223-8514

Phone

(971) 708-7600

Fax

(971) 371-5230

NPI assigned

Jan 11, 2019

Last updated

Mar 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Marisa Bertolone-Smith Former name

Medicare fee-for-service enrollment

Enrolled in OR, CO2 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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Cancer Specialists PCGroup PAC ID 8426943838, 70 clinicians

Rocky Mountain Cancer Centers LLPGroup PAC ID 7012820533, 131 clinicians

Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marisa.adlesich@compass.ikm.direct-ci.com

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

• Oregon Oncology Specialists, LLP

  dba Oregon Infectious Disease Specialists

  • Hematology & Oncology Physician
  • Salem, OR
  • NPI 1013953025
  Medicare reassignment Care Compare group NPD
• Northwest Cancer Specialists PC

  dba Compass Oncology

  • Hematology & Oncology Physician
  • Vancouver, WA
  • NPI 1407828114

  OR

  Medicare reassignment Care Compare group NPD
• Rocky Mountain Cancer Centers LLP

  • Hematology & Oncology Physician
  • Greenwood Village, CO
  • NPI 1518941186
  Medicare reassignment Care Compare group
• Good Samaritan Hospital Corvallis

  dba Good Samaritan Regional Medical Center

  • General Acute Care Hospital
  • Corvallis, OR
  • NPI 1962453134
  Medicare reassignment
• Northwest Physician Associates PC

  • Physician Assistant
  • Arlington, WA
  • NPI 1275567919

  OR

  Medicare reassignment
• Good Samaritan Hospital Corvallis

  dba Samaritan Family Medicine, Southwest

  • Family Medicine Physician
  • Corvallis, OR
  • NPI 1376809475
  NPD
• Good Samaritan Hospital Corvallis

  dba Samaritan Gynecologic Oncology - Corvallis

  • Gynecologic Oncology Physician
  • Corvallis, OR
  • NPI 1710787916
  NPD
• Oregon Oncology Specialists, LLP

  • Clinic Pharmacy
  • Salem, OR
  • NPI 1134592041
  NPD
• Northwest Cancer Specialists PC

  dba Compass Oncology Pharmacy

  • Specialty Pharmacy
  • Vancouver, WA
  • NPI 1770939019
  NPD
• Rocky Mountain Cancer Centers LLP

  dba Rocky Mountain Cancer Centers, A Professional LLP

  • Radiation Oncology Physician
  • Greenwood Village, CO
  • NPI 1861539538

  Physician Assistant

  NPD
• Rocky Mountain Cancer Centers, LLP

  dba Rocky Mountain Cancer Centers-RMCC Longmont

  • Hematology & Oncology Physician
  • Longmont, CO
  • NPI 1538762760
  NPD
• Khalid Chowdhury MD, PC

  • Facial Plastic Surgery Physician
  • Denver, CO
  • NPI 1457502940
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Legacy Meridian Park Hospital

  • General Acute Care Hospital
  • Tualatin, OR
  • NPI 1184647620
  Care Compare affiliation

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1679047708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835508",
            "telephone_number": "360-597-1313",
            "fax_number": "360-597-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 SW 69TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238514",
            "telephone_number": "971-708-7600",
            "fax_number": "971-371-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLESICH",
        "first_name": "MARISA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA203098",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006105",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "BERTOLONE-SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terri Adams
• Brian Adamski
• Adeo, LLC (Adeo In Home Care)
• ADHD Child & Family Services, LLC
• Nana Adjepong
• Advanced Acupuncture & Oriental Medicine, LLC
• Advantage Medical Group LLP
• Jeremy Saba Adversalo
• Cynthia J Aerni, M.S., LPC
• Affordable at Home Care, Inc.

• Physician Assistant in Tigard, OR
• Providers in Tigard, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.