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BONNIE REAGAN M.D. NPI 1255306205


NPI Information

NPI: 1255306205
Provider Name: BONNIE REAGAN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
541 NE 20TH AVE
SUITE210
PORTLAND, OR
ZIP 97232
Phone: (503) 233-6940
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Bonnie Reagan, M.D. is a family medicine in Portland, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bonnie Reagan, M.D. NPI is 1255306205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

541 NE 20TH AVE
SUITE210
PORTLAND, OR
ZIP 97232-862
Phone: (503) 233-6940
Fax: (503) 236-2676

The enumeration date for this NPI number is 2/22/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine14470OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
149531OTHERWASHINGTONWA DEPT. OF L&I
28154130MEDICAIDWASHINGTON
3162032MEDICAIDOREGON
4C93586MEDICARE UPINOREGON
5OOWCJQGBMEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.