Bonham, Misty M

Bonham, Misty M is an sole proprietor health care provider with primary practice located at 358 Nw 1St Ave Ste 3 , Canby OR 97013-3533. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bonham, Misty M can be contacted via phone (503) 427-8255.

Contact Information

Primary practice address
358 Nw 1St Ave Ste 3 Canby OR 97013-3533
Phone: (503) 427-8255
Fax: (971) 377-2995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X L11217 Oregon

Profile Details

NPI number 1467010397
LBN Legal business name Bonham, Misty M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2019
Last updated Oct 16th, 2023 - about 2 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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