Individual
JESSICA J BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
333 SE 7TH AVE, HILLSBORO, OR 97123-4157
(503) 597-4500
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
202008134NP-PP
OR
Other
Enumeration date
09/22/2020
Last updated
07/26/2021
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