Basic Information
| Provider Information | |||||||||
| NPI: | 1073946711 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BONS | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1007 | ||||||||
| Address2: | |||||||||
| City: | RIDDLE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974691007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5039498357 | ||||||||
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| Practice Location | |||||||||
| Address1: | 790 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MYRTLE CREEK | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974579303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5418604070 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2013 | ||||||||
| LastUpdateDate: | 01/16/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 201391732NP-PP | OR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.