Individual
PAUL MATTHEW BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239-3098
(503) 484-8211
Mailing address
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239-3098
(503) 484-8211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD211790
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2019
Last updated
07/28/2023
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