Individual
MRS. THANITA PRADHANANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3499
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA196508
OR
363A00000X
Physician Assistant
PA61311743
WA
Other
Enumeration date
11/22/2019
Last updated
08/11/2026
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