Active NPI
Bobo Primary Care LLC
- Adult Health Nurse Practitioner
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- BOBO PRIMARY CARE LLC
- Practice address
- 304 SE Hearthwood Blvd # 873933
Vancouver, WA 98684-7551 - Phone
- (503) 877-5543
- NPI assigned
- May 19, 2026
- Last updated
- Jun 25, 2026
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NU | 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
National Provider Directory
National Provider DirectoryLocations
304 SE Hearthwood Blvd
#873933
Vancouver, WA 98684
Phone (503) 877-5543
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1740110121",
"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"
},
{
"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": "2026-05-19",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"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": "NU",
"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 Jun 25, 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.