Active NPI
Bonnie Leigh Wickwire, D.C. / N.D.
- Naturopath
- Enterprise, OR
National Provider Identifier
1689607822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0862
- Practice address
- 507 S River St
Enterprise, OR 97828-1601 - Phone
- (541) 426-4502
- NPI assigned
- Jul 9, 2006
- Last updated
- Oct 11, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2277 | OR | |
| Naturopath | 175F00000X | 0862 | OR | Primary |
Addresses
Primary practice location
507 S River St
Enterprise, OR 97828-1601
Mailing address
603 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-4502
Other practice location 1
603 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-4502
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2277 | OR | MD | Clinical Social Worker |
| 0862 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winding Waters Medical Clinic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Enterprise, OR
- NPI 1679924112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791676800000",
"number": "1689607822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 MEDICAL PKWY",
"city": "ENTERPRISE",
"state": "OR",
"postal_code": "978285124",
"telephone_number": "541-426-4502",
"fax_number": "541-426-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S RIVER ST",
"city": "ENTERPRISE",
"state": "OR",
"postal_code": "978281601",
"telephone_number": "541-426-4502"
}
],
"practiceLocations": [
{
"address_1": "603 Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Enterprise",
"state": "OR",
"postal_code": "978285124",
"country_code": "US",
"telephone_number": "541-426-4502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WICKWIRE",
"first_name": "BONNIE",
"middle_name": "LEIGH",
"credential": "D.C. / N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2026-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "2277",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "0862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.