Bynum, Sonia

Bynum, Sonia is an individual health care provider with primary practice located at 1547 Ne 40Th Ave Ste B , Portland OR 97232-1862. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Bynum, Sonia can be contacted via phone (503) 284-1937.

Contact Information

Primary practice address
1547 Ne 40Th Ave Ste B Portland OR 97232-1862
Phone: (503) 284-1937
Fax: (503) 284-3908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD60647352 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD161126 Oregon

Profile Details

NPI number 1154518504
LBN Legal business name Bynum, Sonia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Nov 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154518504 NPPES
Oregon MEDICAID 500652596
Oregon MEDICAID 2081762

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