Bonnie Aubrey Broll, QMHA

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

1780221499 Issued in OR

Practice address

1750 SW Skyline Blvd
Portland, OR 97221-2533

Phone

(503) 894-9630

NPI assigned

Aug 5, 2026

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Female

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": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1881518587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 NE 57TH AVE UNIT A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133176",
            "telephone_number": "503-989-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SW SKYLINE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212533",
            "telephone_number": "503-894-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROLL",
        "first_name": "BONNIE",
        "middle_name": "AUBREY",
        "credential": "QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "1780221499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Brogan
• Amber April Broide
• Grace Brokaw
• Jennifer Ann Brokaw, RN
• James Richard Broker
• Sarah Bromberg
• Kent Bromenschenkel
• William Bradford Bronec, M.D.
• Dustin M Bronsdon, AU.D.
• Karen Bronson, PHARMD

• Student in an Organized Health Care Education/Training Program in Portland, OR
• Providers in Portland, OR by specialty
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.