Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adrienne D Bonham, MD

Individual provider Specialist · NPI 1700963121

Adrienne D Bonham, MD is an Obstetrics/Gynecology in Portland, Oregon. Qualified in 1997, 29 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York and Oregon.

Years since qualifying
29
Licensed in
NY, OR
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-4500
Fax: (503) 494-1678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2255 S Clinton Ave, Rochester, NY 14618 — (585) 271-7800

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD204324 (OR)
Specialist Taxonomy 174400000X · Licence 219700 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 219700 (NY)

Record details

NPI number1700963121
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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