Individual
MS. BONNIE MARIE DITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2011 4TH ST, LA GRANDE, OR 97850-2511
(541) 963-4139
(541) 429-6612
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA151196
OR
Other
Enumeration date
04/27/2010
Last updated
07/23/2026
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