Individual provider · Type 1 NPI

Chethiya Weligodapola, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1154944296 Active

Practice location

3303 S Bond Ave Bldg 1
Portland, OR 97239-4501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA210795 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1154944296

Chethiya Weligodapola, PA-C's National Provider Identifier is 1154944296, issued on May 23, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Nov 10, 2022.