NPI 1891574448 · live from the CMS NPI Registry
Isabella Bonder
Physician Assistant in Portland, ME. National Provider Identifier 1891574448, active.
NPI record
| NPI | 1891574448 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 716 Stevens Ave, Portland, ME 04103 |
| Practice phone | 207-283-0171 |
| Mailing address | 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801 |
| Enumerated | September 25, 2023 |
| Last updated | November 13, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA101909 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.