Karina Lerae Bonn, OTR
Individual provider Active NPI Occupational Therapist · Wilsonville, OR
NPI 1629324199 · NPPES record last updated Aug 2, 2012
Key facts
- NPI
- 1629324199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 998692 (OR)
- Practice address
- 25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9697 - Phone
- (503) 570-3405
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 998692 | OR | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 998692 | OR | Yes |
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
Other providers in Wilsonville, OR
- Victor Manuel Blanco Alonso
- Kelly Blehm
- Scott A Bloom
- Sara L. Boaz
- Catherine Bonde
- Margaret A Boone
- Boone'S Landing Dental Center, LLC
- Boones Ferry Chiropractic and Massage PC
- Boones Landing Physical Therapy LLC
- Cindy D Bothum-Haslebacher
All providers in Wilsonville, OR · Occupational Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2012. 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.