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1265468615
MICHELLE D BONTA
PORTLAND, OR
NPI
1265468615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: OR MD25129)
Enumeration Date
2006-06-25
Last Update Date
2020-10-15
Business Address
MICHELLE D BONTA MD
417 SW 117TH AVE 2ND FLOOR
PORTLAND, OR 97225-5924
Phone number: 503-216-9400
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Mailing Address
MICHELLE D BONTA MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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