Bonnie Ann Wiebeck Sweetland, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC61471618 Issued in WA

Practice address

16821 SE McGillivray Blvd Ste 110
Vancouver, WA 98683-0401

Phone

(360) 718-8544

Fax

(360) 718-5243

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1275313041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 SW MCGINNIS AVE",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970601566",
            "telephone_number": "608-630-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830401",
            "telephone_number": "360-718-8544",
            "fax_number": "360-718-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBECK SWEETLAND",
        "first_name": "BONNIE",
        "middle_name": "ANN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61471618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda C Widing, DO
• Amanda Widman, ATC
• Marc Douglass Widmer
• Tami Widmer, MA, LMHC, LPC
• George E Wiebe, MD
• Kathryn Wiedeman, LPTA
• Kimberly M Wiedman, RD
• Cody Wiench, MD
• Sharla Ann Wiest, RD, CD
• Katherine E Wiggin, ND

• Acupuncturist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.