Organization Active NPI

Bobo Primary Care LLC

  • Adult Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1740110121
Registry record updated Jun 25, 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
May 19, 2026
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Bona Bobo, DNPNPI 1659933075
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.