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

Individual provider Dermatology Physician · NPI 1265468615

Michelle D Bonta, MD is a Dermatology in Portland, Oregon. Graduated from Harvard Medical School in 2000, 26 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
26
Trained at
Harvard Medical School
Licensed in
OR
In the registry since
2006
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

417 SW 117th Ave 2nd Fl
Portland, OR 97225-5924
Phone: (503) 216-9400
Fax: (503) 216-9499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD25129 (OR)

Record details

NPI number1265468615
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2006
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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