Doctor Name: | MR. DONALD L BONS |
NPI Number: | 1073946711 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | 201391732NP-PP |
Business Practice Address: | 728 Molalla Ave Oregon City, OR - 970452799 |
Business Phone Number: | 5036569030 |
Business Fax Number: | |
Mailing Address: | 4657 Lords Ct Ne, SALEM |
State: | OR |
Postal Code: | 973012027 |
Phone Number: | 5039498357 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2013 |
NPI Last Update Date: | 08/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201391732NP-PP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |