Individual provider · Type 1 NPI

Ashley Bonnefin, PA-C

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1831930726 Active

Practice location

2730 S Moody Ave
Portland, OR 97201-5042

Call (503) 494-3633 Map

Other practice locations

  • 18010 SW Mcewan Rd, Lake Oswego, OR 97035-7868 · (503) 525-7500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Physician Assistant 363A00000XPA228541 (OR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831930726

Ashley Bonnefin, PA-C's National Provider Identifier is 1831930726, issued on Jun 4, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jan 22, 2026.