Individual provider · Type 1 NPI

Michelle D. Bonta, MD

Dermatology Physician · Portland, OR

NPI number 1265468615 Active

Practice location

417 SW 117th Ave, 2nd Floor
Portland, OR 97225-5924

Fax (503) 216-9499

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XMD25129 (OR)

Dermatology Physician: 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 additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1265468615

Michelle D. Bonta, MD's National Provider Identifier is 1265468615, issued on Jun 25, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2020.