Wilcox, Bonita Lagina

Wilcox, Bonita Lagina is an individual health care provider with primary practice located at 330 Se 3Rd St , Troutdale OR 97060-2080. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Wilcox, Bonita Lagina can be contacted via phone (971) 270-0483.

Contact Information

Primary practice address
330 Se 3Rd St Troutdale OR 97060-2080
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 4082 Oregon

Profile Details

NPI number 1306360367
LBN Legal business name Wilcox, Bonita Lagina
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2017
Last updated Jul 21st, 2022 - about 4 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 1306360367 NPPES
Oregon Other 4082 BOARD LICENSE

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