Individual
CANDACE NOREEN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 NE MOTHER JOSEPH PL, SOUTHWEST WASHINGTON MEDICAL CENTER, VANCOUVER, WA 98664-3200
(360) 514-2000
Mailing address
400 NE MOTHER JOSEPH PL, SOUTHWEST WASHINGTON MEDICAL CENTER, VANCOUVER, WA 98664-3200
(360) 514-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00027162
WA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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