Individual
DR. BONNIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3539 N WILLIAMS AVE STE 202A, PORTLAND, OR 97227-1437
(503) 901-4748
Mailing address
1415 NE WEBSTER ST, PORTLAND, OR 97211-4468
(503) 901-4748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6065
OR
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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