Individual
THAO VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12345 SW HORIZON BLVD STE 57, BEAVERTON, OR 97007-9475
(503) 216-8820
Mailing address
12345 SW HORIZON BLVD STE 57, BEAVERTON, OR 97007-9475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA169942
OR
363A00000X
Physician Assistant
PA60719666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500677387
—
OR
Enumeration date
08/13/2014
Last updated
10/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us