Organization
HY-FUN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONA BOBO NP (OWNER)
(503) 877-5543
Entity
Organization
Contact information
Practice address
304 SE HEARTHWOOD BLVD # 873933, VANCOUVER, WA 98684-7551
(702) 849-3302
Mailing address
304 SE HEARTHWOOD BLVD # 8739933, VANCOUVER, WA 98684-7551
(503) 877-5543
(778) 769-4717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/03/2020
Last updated
05/01/2026
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