Brandi Marie Bonney
Individual provider Active NPI Community Health Worker · Saint Helens, OR
NPI 1275213829 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1275213829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- THW000108889 (OR)
- Practice address
- 2370 Gable Rd
Saint Helens, OR 97051-2913 - Phone
- (800) 244-4870
- Fax
- (503) 397-1424
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW000108889 | OR | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Health Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | THW000108889 | OR | Yes |
Addresses
Primary practice location
2370 Gable Rd
Saint Helens, OR 97051-2913
Mailing address
PO Box 995
Saint Helens, OR 97051-0995
Phone (800) 244-4870
Other providers in Saint Helens, OR
- David Stephen Bogden
- Brianna Quinn Boice
- Suzanne Boily
- Hannah Bombardier
- Sharon L Bonn
- Arejonna Bowen
- Jessica Michelle Bowles
- Dylan David Brady
- Ashley Brandon
- Richard Mark Braucher
All providers in Saint Helens, OR · Community Health Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.