Joseph Jeffrey Bonn, PA
Individual provider Active NPI Medical Physician Assistant · Bellingham, WA
NPI 1285060897 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1285060897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA60417151 (WA)
- Practice address
- 410 Birchwood Ave
Suite 200
Bellingham, WA 98225 - Phone
- (360) 734-9233
- Fax
- (360) 738-8974
- NPI assigned
- Sep 16, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Klickitat County Public Hospital District No 1
Practice addresses (Care Compare)
310 S Roosevelt St
Goldendale, WA 98620-9201
Phone (509) 486-2151
Hospital & facility affiliations
- Klickitat Valley Hospital
- Klickitat Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140107000830 | WA | Practitioner - Physician Assistant | 3577791045 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klickitat County Public Hospital District No 1 | Current |
Accepting new patients | |
| Washington Kidney Care LLC | Past |
Accepting new patients | |
| Klickitat County Public Hospital District No 1 | Past | Accepting new patients |
Locations
317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017
310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60417151 | WA | Yes |
Addresses
Primary practice location
410 Birchwood Ave
Suite 200
Bellingham, WA 98225
Mailing address
410 Birchwood Ave
Suite 200
Bellingham, WA 98225
Phone (360) 734-9233
Other providers in Bellingham, WA
- Lisa Boisvert
- Rina Lee Ann Bolden
- Angela Bolger
- Jerry Randall Bond
- April M Bonham
- Ian D. Bonner
- Mariisa Ruth Bonsen
- Chris R Borders
- Alfred Bordeville
- Todd W Born I
All providers in Bellingham, WA · Medical Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.