ASHLEY BONNEFIN PA-C
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1831930726- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 2730 S MOODY AVE, PORTLAND, OR, 972015042
- Phone
- (503) 494-3633
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary
Physician Assistant
License: OR #PA228541
All Addresses
MAILING
2730 S MOODY AVE
PORTLAND, OR, 972015042