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

Ashley Bonnefin, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831930726

Ashley Bonnefin, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2025, 1 year ago. Practices with Legacy Meridian Park Hospital, a 110-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2730 S Moody Ave
Portland, OR 97201-5042
Phone: (503) 494-3633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18010 Sw McEwan Rd, Lake Oswego, OR 97035-7868 — (503) 525-7500

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X · Licence PA228541 (OR)

Record details

NPI number1831930726
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Legacy Meridian Park Hospital — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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