Kittleson, Bonnie K

Kittleson, Bonnie K is an individual health care provider with primary practice located at 10000 Se Main St Ste 350 , Portland OR 97216-2474. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kittleson, Bonnie K can be contacted via phone (971) 262-9800.

Contact Information

Primary practice address
10000 Se Main St Ste 350 Portland OR 97216-2474
Phone: (971) 262-9800
Fax: (971) 262-9899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200450048NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53108 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200450048NP Oregon

Profile Details

NPI number 1851394464
LBN Legal business name Kittleson, Bonnie K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 17th, 2018 - 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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