Individual provider Active NPI

Bonnie Leigh Wickwire, D.C. / N.D.

  • Naturopath
  • Enterprise, OR
National Provider Identifier
1689607822
Registry record updated Oct 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0862 Issued in OR
Practice address
507 S River St
Enterprise, OR 97828-1601
Phone
(541) 426-4502
NPI assigned
Jul 9, 2006
Last updated
Oct 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2277ORMDClinical Social Worker
0862ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.