MICHELLE D BONTA MD
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1265468615- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 417 SW 117TH AVE 2ND FLOOR, PORTLAND, OR, 972255924
- Phone
- (503) 216-9400
- Fax
- (503) 216-9499
Specialties & Taxonomies
Dermatology
Primary License: OR #MD25129