Individual
MADISON PASCHAL BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4805 NE GLISAN ST STE 6N50, PORTLAND, OR 97213
(503) 215-2300
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA182185
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500734044
—
OR
Enumeration date
04/01/2013
Last updated
08/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us