Smith, Bonnie

Smith, Bonnie is an individual health care provider with primary practice located at 14300 Sw Barrows Rd , Tigard OR 97223-2063. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Smith, Bonnie can be contacted via phone (503) 590-4697.

Contact Information

Primary practice address
14300 Sw Barrows Rd Tigard OR 97223-2063
Phone: (503) 590-4697
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0010121 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0010121 Oregon
Pharmacy Service Providers / Pharmacist 183500000X RPH-0010121 Oregon

Profile Details

NPI number 1770988388
LBN Legal business name Smith, Bonnie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Mar 29th, 2021 - about 3 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 1770988388 NPPES
Oregon Other RPH-0010121 BOARD OF PHARMACY LICENSE NUMBER

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