Organization Active NPI

Bobo Primary Care LLC

  • Adult Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1669377578
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
BOBO PRIMARY CARE LLC
Practice address
304 SE Hearthwood Blvd # 873933
Vancouver, WA 98684-7551
Phone
(503) 877-5543
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Bona Bobo, DNP
Title
Owner
Phone
(503) 877-5543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

304 SE Hearthwood Blvd # 873933
Vancouver, WA 98684-7551

Mailing address

304 SE Hearthwood Blvd # 873933
Vancouver, WA 98684-7551
Phone (503) 877-5543

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1669377578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SE HEARTHWOOD BLVD # 873933",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847551",
            "telephone_number": "503-877-5543",
            "fax_number": "778-769-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SE HEARTHWOOD BLVD # 873933",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847551",
            "telephone_number": "503-877-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBO PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "BONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-877-5543",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.