RACHEL ALINA BONESKI (NPI# 1598261372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598261372 |
Entity Type | Individual |
Full Name | RACHEL ALINA BONESKI |
Credential | DO |
Practice Address |
4104 Se 82nd Ave Ste 250 Portland OR 97266-2954 |
Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
Practice Telephone | 5032158950 |
Mailing Telephone | 5032156494 |
Enumeration Date | 2018-04-02 |
Last Update Date | 2020-06-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | PG199118 | OR | Student, Health Care |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1704 Se 357th Ave, Washougal, WA 986719552 | 3609095720 |
Street Address |
4104 SE 82ND AVE STE 250 |
City | PORTLAND |
State | OR |
Zip Code | 97266-2954 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073856142 | Ben Lawrence Pederson | Family Medicine | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2013-03-27 |
1518587575 | Triet Anh Nguyen | Student in an Organized Health Care Education/Training Program | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2020-04-20 |
1326668385 | Bao Tran Nhan | Student in an Organized Health Care Education/Training Program | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2020-04-20 |
1598329328 | Michael Robert Dirks Jr. | Student in an Organized Health Care Education/Training Program | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2019-04-26 |
1851955785 | Katherine E Cobb | Student in an Organized Health Care Education/Training Program | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2019-04-25 |
1922662857 | Hannah Kadavy | Student in an Organized Health Care Education/Training Program | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2019-04-25 |
1821587056 | Tyler Freedell Nelson | Student in an Organized Health Care Education/Training Program | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2018-05-03 |
1598254898 | Elizabeth Belen Deyo | Student in an Organized Health Care Education/Training Program | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2018-05-02 |
1295187367 | Nicholas T Wolfgang | Student in an Organized Health Care Education/Training Program | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2016-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
Find all providers in zip 97266 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
Find all providers in PORTLAND |
Please comment or provide details below to improve the information on RACHEL ALINA BONESKI.
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.