Michelle D Bonta is a Dermatology in Portland, Oregon. Michelle D Bonta practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Michelle D Bonta is 1265468615. The last update date is 2020-10-15.
Michelle D Bonta's current location address is 417 Sw 117th Ave, Portland, Oregon. You can contact this provider via phone number 5032169400 and fax number 5032169499. The mailing address for Michelle D Bonta is 417 Sw 117th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle D Bonta |
|---|---|
| Address | 417 Sw 117th Ave, Portland, Oregon |
| Phone Number | 5032169400 |
| Fax Number | 5032169499 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265468615 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2020-10-15 |
Provider Mailing Address Detail
| Address | 417 Sw 117th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972255924 |
| Phone Number | 5032169400 |
| Fax Number | 5032169499 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | MD25129 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00207043 | OR | RR MEDICARE - PH&S | |
| 233462 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michelle D Bonta by the Centers for Medicare & Medicaid Services?
The Michelle D Bonta has been assigned the NPI (National Provider Identifier) 1265468615 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Michelle D Bonta's facilities are situated?
The facilities of Michelle D Bonta are physically located at the following address: 417 Sw 117Th Ave, Portland, OR, 972255924.
What is Michelle D Bonta's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michelle D Bonta is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date was the 1265468615 assigned to Michelle D Bonta?
The Michelle D Bonta was issued its 1265468615 on 2006-06-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Michelle D Bonta, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michelle D Bonta, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-15.