Active NPI
Karina Lerae Bonn, OTR
- Occupational Therapist
- Wilsonville, OR
National Provider Identifier
1629324199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 998692
- Practice address
- 25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9697 - Phone
- (503) 570-3405
- NPI assigned
- Aug 2, 2012
- Last updated
- Aug 2, 2012
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 998692 | OR | Primary |
Addresses
Primary practice location
25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9697
Mailing address
20268 Halfway Rd
Bend, OR 97701-9018
Phone (541) 480-5671
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 998692 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1629324199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20268 HALFWAY RD",
"city": "BEND",
"state": "OR",
"postal_code": "977019018",
"telephone_number": "541-480-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE",
"address_2": "SUITE F",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697",
"telephone_number": "503-570-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONN",
"first_name": "KARINA",
"middle_name": "LERAE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "998692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.