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

Baredu Bonso Wotcha, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1518540798

Baredu Bonso Wotcha, PHYSICIANASSISTANT is a Physician Assistant in Salem, Oregon. Qualified in 2023, 3 years ago. Practices with Willamette Ear Nose and Throat LLP, a 15-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2021

Practice location Address checks out

3099 River Rd S
Salem, OR 97302-9754
Phone: (503) 581-1567
Fax: (503) 581-1567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA218535 (OR)

Record details

NPI number1518540798
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 4, 2021
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address3099 River Rd S, Salem, OR 97302-9754

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Willamette Ear Nose And Throat Llp — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salem