Individual
BONNIE GRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SW FRAZER AVE STE 282, PENDLETON, OR 97801-0048
(541) 564-9390
(541) 564-9389
Mailing address
435 E NEWPORT AVE, SUITE A, HERMISTON, OR 97838-2487
(541) 564-9390
(541) 564-9389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
01/28/2020
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