Bonnell, Joseph

Bonnell, Joseph is an individual health care provider with primary practice located at 1132 Sw 13Th Ave , Portland OR 97205-1703. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bonnell, Joseph can be contacted via phone (503) 267-2127.

Contact Information

Primary practice address
1132 Sw 13Th Ave Portland OR 97205-1703
Phone: (503) 267-2127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15-05-06 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C5095 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18-02-29 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750774048
LBN Legal business name Bonnell, Joseph
Credentials LPC, CADC 3
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2015
Last updated Jan 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750774048 NPPES
Oregon MEDICAID 500181599

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