AMANDA R BONNER (NPI# 1093073629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093073629 |
| Entity Type | Individual |
| Full Name | AMANDA R BONNER |
| Other Name | AMANDA M ROSEN |
| Credential | MD |
| Practice Address |
2101 Ne 139th St Suite #460 Vancouver WA 98686 |
| Mailing Address |
Po Box 2077 Portland OR 97208-2077 |
| Practice Telephone | 3604872727 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2019-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD166587 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD60668472 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396111043 | Amanda Bonner | Hearing Instrument Specialist | 306 N Main St, Suite A, Lancaster, SC 29720-2117 | 2015-08-18 |
| 1093016529 | Amanda Rae Bonner | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2010-11-15 |
| Street Address |
2101 NE 139TH ST SUITE #460 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215567 | Kathleen Jo Hensch-fleming | Advanced Practice Midwife | 2101 Ne 139th St, Suite 255, Vancouver, WA 98686-2309 | 2005-09-12 |
| 1841737699 | Legacy Salmon Creek Im | Clinic/Center | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2325 | 2017-01-31 |
| 1518396290 | Colleen Castleberry | Social Worker | 2101 Ne 139th St, Suite 260, Vancouver, WA 98686-2309 | 2013-11-04 |
| 1992144208 | Ross Puterbaugh | Nurse Practitioner | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 | 2013-06-19 |
| 1740579606 | Entoffice.org, Pllc | Clinic/Center | 2101 Ne 139th St, Suite 285, Vancouver, WA 98686-2309 | 2011-03-31 |
| 1023325628 | Karen A Sims-bundy | Registered Nurse | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 | 2010-09-03 |
| 1003147695 | Beth L King | Registered Nurse | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 | 2010-01-20 |
| 1932332236 | Jodi Carleen Houghton | Nurse Practitioner | 2101 Ne 139th St, Suite 450, Vancouver, WA 98686-2309 | 2009-09-02 |
| 1376772616 | Natashia Monique Madrid Heimburger | Obstetrics & Gynecology | 2101 Ne 139th St, Suite 350, Vancouver, WA 98686-2309 | 2009-07-08 |
| 1730323528 | Marsha Shennum Burns | Nurse Practitioner | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 | 2009-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851596837 | Dawnrenee Cinocco | Internal Medicine | 2100 Se 187th Ave, Vancouver, WA 98683-9740 | 2007-06-19 |
| 1477658961 | Wendy Ann Wanlass | Internal Medicine | 1603 Fourth Plain Blvd, Va Medical Center Nscu, Vancouver, WA 98661 | 2006-09-13 |
| 1124465901 | Jessica K Chan | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2013-06-03 |
| 1407181217 | Dr. Dawnrenee Cinocco Md Pllc | Internal Medicine | 2100 Se 187th Ave, Vancouver, WA 98683-9740 | 2009-10-12 |
| 1982861779 | Jean Yoo Campbell | Internal Medicine | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 | 2008-05-20 |
| 1235249145 | Rima Huda Jallad | Internal Medicine | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-08-30 |
| 1669485165 | Mary Alice Shepard | Internal Medicine | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507662 | 6m Geriatrics & Hospital Medicine | Internal Medicine | 620 Terry Ave Unit 202, Seattle, WA 98104-2020 | 2020-01-17 |
| 1164072765 | Vm Provision Care LLC | Internal Medicine | 3640 S Cedar St Ste O, Tacoma, WA 98409-5700 | 2019-09-16 |
| 1285977983 | Martha and Mary Lutheran Services | Internal Medicine | 19160 Front Street Ne, Poulsbo, WA 98370-0127 | 2013-04-01 |
| 1285995365 | Jazmin Ivette Yepez Kuri | Internal Medicine | 1200 N 14th Ave Ste 300, Our Lady of Lourdes Hospital At Pasco, Pasco, WA 99301-4195 | 2012-06-05 |
| 1851684914 | Lissette Ramirez Suero | Internal Medicine | 560 Gage Blvd Ste 203, Kadlec Clinic Senior Health, Richland, WA 99352-8650 | 2011-05-24 |
| 1568751097 | Delia Lee Takagi | Internal Medicine | 560 Gage Blvd Suite 102, Richland, WA 99325 | 2011-04-05 |
| 1780982694 | Shirley Newell | Internal Medicine | 1126 38th Ave E, Seattle, WA 98112-4434 | 2011-03-02 |
| 1407088016 | Daniel Raskind Md Pllc | Internal Medicine | 5320 135th Pl Se, Bellevue, WA 98006-4238 | 2009-08-14 |
| 1497953947 | Diane A. Faran | Internal Medicine | 9040 Jacksonave, Tacoma, WA 98431-2306 | 2007-07-06 |
| 1518164052 | Elaine Liu | Internal Medicine | 4515 Martin Luther King Jr Way S Ste 100, Seattle, WA 98108-2183 | 2007-06-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.