Active NPI
Bonita Lagina Wilcox, ND
- Naturopath
- Troutdale, OR
National Provider Identifier
1306360367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4082
- Practice address
- 330 SE 3Rd St
Troutdale, OR 97060-2080 - Phone
- (971) 270-0483
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 4082 | OR | Primary |
Addresses
Primary practice location
330 SE 3Rd St
Troutdale, OR 97060-2080
Mailing address
330 SE 3Rd St
Troutdale, OR 97060-2080
Phone (971) 270-0483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4082 | Other | OR | BOARD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306360367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SE 3RD ST",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970602080",
"telephone_number": "971-270-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 SE 3RD ST",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970602080",
"telephone_number": "971-270-0483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "BONITA",
"middle_name": "LAGINA",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD LICENSE",
"identifier": "4082",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troutdale, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.