Mary Lou Bonham in Portland - Marriage & Family Therapist
Mary Lou Bonham - NPI 1316135288
Mary Lou Bonham is a Marriage & Family Therapist in Portland, Oregon. Mary Lou Bonham practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mary Lou Bonham is 1316135288. The last update date is 2007-10-04.
Mary Lou Bonham's current location address is 6445 Se 71st Ave, Portland, Oregon. You can contact this provider via phone number 5419740777. The mailing address for Mary Lou Bonham is 6445 Se 71st Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Lou Bonham |
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Address | 6445 Se 71st Ave, Portland, Oregon |
Phone Number | 5419740777 |
Fax Number | |
Sole Proprietor | N |
Credentials | BSN, MFT |
NPI Number Detail
NPI Number | 1316135288 |
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Provider Enumeration Date | 2007-10-04 |
Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
Address | 6445 Se 71st Ave |
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City | Portland |
State | Oregon (OR) |
Post Code | 972066545 |
Phone Number | 5419740777 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identification code issued to Mary Lou Bonham by the Centers for Medicare & Medicaid Services?
The Mary Lou Bonham has been assigned the NPI (National Provider Identifier) 1316135288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Mary Lou Bonham located?
The Mary Lou Bonham is located at 6445 Se 71St Ave, Portland, OR 972066545.
What is Mary Lou Bonham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Lou Bonham's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did Mary Lou Bonham receive its 1316135288 assignment from the Centers for Medicare & Medicaid Services?
The Mary Lou Bonham was assigned its 1316135288 on 2007-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mary Lou Bonham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Lou Bonham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-04.