Lori Gonder

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA19129 Issued in WA

Practice address

566 Goerig St
Woodland, WA 98674-9442

Phone

(360) 910-6515

NPI assigned

May 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lori Boer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1841550845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "address_2": "WOODLAND",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986740101",
            "telephone_number": "360-910-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 GOERIG ST",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749442",
            "telephone_number": "360-910-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDER",
        "first_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA19129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "BOER",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• G and M Chiro, PLLC
• Ronald Scott Gerne, DC
• Thomas Joseph Gerne, DC
• Gideon M Arnett, DMD, P.L.L.C.
• Aaron Thomas Gillespie, D.C.
• Dan Gookin
• Green Mountain School District
• Makayla Ellen Green, COTA
• Elizabeth Grendahl, LMP
• Eric G. Gurrad, DDS

• Specialist in Woodland, WA
• Providers in Woodland, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.