Adolphe Bonfiglio

Primary specialty

Optometric TechnicianTaxonomy code 156FX1202X

Practice address

12100 SE Stevens CT Ste 106
Portland, OR 97266-8707

Phone

(503) 353-7300

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780897942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 SW PARKVIEW LOOP",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 SE STEVENS CT STE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972668707",
            "telephone_number": "503-353-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONFIGLIO",
        "first_name": "ADOLPHE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Faye Bone
• Joebelle Pastores Bonete, OD
• Gary Francis Bonetti III, BA
• Colton Patrick Boney, DO
• Melanie Janel Boney, RD
• Alexis Marie Bonfiglio, PA-C
• Brent Bonfiglio
• Cliffton T.H. Bong, M.D.
• Soohan Bong
• Christina Bongen

• Technician/Technologist in Portland, OR
• Providers in Portland, OR by specialty
• Technician/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.