Individual
DR. BONNIE JEAN NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE DC7P, PORTLAND, OR 97239-3011
(503) 494-4612
(503) 418-5774
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE DC7P, PORTLAND, OR 97239-3011
(503) 494-4612
(503) 418-5774
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1715
OR
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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