IndividualActive
Adrienne Bonham, MD
NPI 1700963121 · Obstetrics & Gynecology Physician · Portland, OR
Provider details
- NPI number
- 1700963121
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 219700 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-4500
Fax: (503) 494-1678
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Additional practice locations (1)
- 2255 S Clinton AveRochester, NY 14618Phone: (585) 271-7800Fax: (585) 473-6911
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2021-07-09
- Certified
- 2021-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.