Individual
BONNIE JEAN CAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
(541) 939-3709
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
(541) 939-3709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11590
OR
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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