Individual
ALEXIS MARIE BONFIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 SE MAIN ST, SUITE 116, PORTLAND, OR 97216-2448
(503) 251-6352
Mailing address
1321 NE 99TH AVE STE 100, PORTLAND, OR 97220-9437
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA170198
OR
Other
Enumeration date
11/10/2014
Last updated
12/02/2025
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