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MADISON PASCHAL BONHAM PA
NPI 1497098081
Physician Assistant in Portland, OR

Active since April 01, 2013
4805 NE GLISAN ST STE 6N50, PORTLAND, OR 97213(503) 215-2300 Get Directions Write a Review

NPPES record last updated: August 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2018, Sep 16, 2016 (2 updates tracked since 2016).

About Madison Paschal Bonham Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON PASCHAL BONHAM PA (NPI 1497098081) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA182185) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1497098081
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON PASCHAL BONHAMCredential: PA
Location Address4805 NE GLISAN ST STE 6N50Portland, OR 97213
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 215-2300
Sole ProprietorNo
Enumeration DateApril 1, 2013
Last NPPES UpdateAugust 19, 20182 updates tracked since enumeration
✔ NPI 1497098081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA182185
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4805 NE GLISAN ST STE 6N50, Portland, OR 97213
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Other Names 1

Former Name (1)Madison Renee Paschal Pa

Other Identifiers 1

Medicaid500734044OR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA ELIZABETH FRATANGELO ACNP
Nurse Practitioner (Acute Care)
4805 NE GLISAN ST STE 6N50
PORTLAND, OR 97213
Multnomah County (503) 215-3053
NICOLETA CRISTINA VOIAN MD MPH
Medical Genetics (Clinical Genetics (M.D.))
4805 NE GLISAN ST STE 6N50
PORTLAND, OR 97213
Multnomah County (503) 215-7901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Bonham's NPI number?

The NPI number for Madison Bonham is 1497098081. It was assigned to this individual provider in the NPPES registry on April 1, 2013. The provider is also known as Madison Renee Paschal PA.

Where is Madison Bonham located?

Madison Bonham practices at 4805 NE Glisan St Ste 6n50, Portland, OR 97213. The listed phone number is (503) 215-2300.

What is Madison Bonham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Madison Bonham was last updated on August 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.