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

Individual provider Physician Assistant · NPI 1497098081

Madison Paschal Bonham, PA is a Physician Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4805 NE Glisan St Ste 6N50
Portland, OR 97213
Phone: (503) 215-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA182185 (OR)

Record details

NPI number1497098081
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 1, 2013
Last updated in NPPESAugust 19, 2018
Mailing addressPo Box 3158, Portland, OR 97208-3158

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