Individual provider · Type 1 NPI

Jeffrey A. Bonham, MD

Diagnostic Radiology Physician · Portland, OR

NPI number 1295013043 Active

Practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Call (503) 797-6356 Map

Fax (503) 292-0346

Mailing address

PO Box 25180
Portland, OR 97298-0180

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X183951 (OR)
Diagnostic Radiology Physician Primary 2085R0202X125059398 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1295013043

Jeffrey A. Bonham, MD's National Provider Identifier is 1295013043, issued on Jul 28, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Portland, OR. The record was last updated on Oct 27, 2017.