Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD157937 | OR |
N | 111NI0900X | Internist | MD157937 | OR |
Y | 207RI0200X | Infectious Disease | MD157937 | OR |
NPI | 1013071125 |
---|---|
Provider Name | Erin Marie Murchan Bonura |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 13/03/2020 |