DR. CARL L. BONOFIGLIO JR. (NPI# 1639292030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639292030 |
| Entity Type | Individual |
| Full Name | DR. CARL L. BONOFIGLIO JR. |
| Credential | CHIROPRACTOR |
| Practice Address |
13016 Sw Thunderhead Way Beaverton OR 97008-6277 |
| Mailing Address |
Po Box 2233 Beaverton OR 97075-2233 |
| Practice Telephone | 5037472429 |
| Practice Fax Number | 8003669518 |
| Mailing Telephone | 5037472429 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
2491 | OR | Chiropractic Providers |
| Street Address |
13016 SW THUNDERHEAD WAY |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-6277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529239 | Zui of Chiropractic LLC | Chiropractor | 10700 Sw Beaverton Hillsdale Hwy Rm 321, Beaverton, OR 97005-3019 | 2020-08-19 |
| 1568584993 | Kimberly De Alto | Chiropractor | 12620 Sw 3rd St, Beaverton, OR 97005-2731 | 2007-04-05 |
| 1093312886 | Nguyen Chiropractic LLC | Chiropractor | 3615 Sw Hall Blvd, Beaverton, OR 97005-2053 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734688 | Timothy Brinkman | Chiropractor | 636 Se 84th Ave, Portland, OR 97216-1106 | 2020-03-03 |
| 1275907388 | Move Better Chiropractic | Chiropractor | 833 N Shaver St, Portland, OR 97227-1250 | 2015-11-30 |
| 1780012757 | Northwest Spine & Wellness Center, LLC | Chiropractor | 835 Bennett Ave, Medford, OR 97504-6715 | 2013-10-29 |
| 1710313093 | Danyele Jean Ramsey | Chiropractor | 7420 Sw Hunziker St Ste F, Tigard, OR 97223-8242 | 2013-09-18 |
| 1295001741 | Hess Chiropractic | Chiropractor | 1907 Garden Ave Ste 102, Eugene, OR 97403-1962 | 2012-03-29 |
| 1326213646 | Andrew Zurek | Chiropractor | 16611 Ne Russell Street, #122, Portland, OR 97230-5900 | 2008-04-28 |
| 1821267402 | Joyce D. Mcclure, D.c., P.C. | Chiropractor | 3644 Sw Troy St Ste 200, Portland, OR 97219-1662 | 2008-02-27 |
| 1669661435 | Gerald D. Smalling | Chiropractor | 2119 Portland Rd, Newberg, OR 97132-1362 | 2007-10-17 |
| 1164627261 | Jeryl M Cossette | Chiropractor | 76370 Rock Rd, Oakridge, OR 97463-9541 | 2007-06-19 |
| 1326171562 | Nate J Corbell | Chiropractor | 1808 Nw Davis Ave., Portland, OR 97210-5405 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
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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.