Amanda R Bonner
Internist Geriatric Medicine
2101 Ne 139th St Suite #460
Vancouver
, Washington 98686
Amanda R Bonner
Internist Geriatric Medicine
2101 Ne 139th St Suite #460
Vancouver
, Washington 98686
(503) 413-3710
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Amanda R Bonner
- Po Box 2077
- Portland, OR
- Zip : 97208-2077
- Fax : (503) 413-3710
- Phone : (503) 413-3900
Second Address
- Amanda R Bonner
- 2101 Ne 139th St Suite #460
- Vancouver, WA
- Zip : 98686
- Phone : (360) 487-2727
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD166587 | OR |
| N | 111NI0900X | Internist | MD166587 | OR |
| Y | 207RG0300X | Geriatric Medicine | MD60668472 | WA |
National Provider Identifier
| NPI | 1093073629 |
|---|---|
| Provider Name | Amanda R Bonner |
| First Address | Portland, OR 97208-2077 |
| Second Address | Vancouver, WA 98686 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2012 |
| Last Update Date | 15/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.