Jessica Dena Bonner

NPI #1942821426 in Portland, Oregon

Provider Information

NPI Number: 1942821426
Entity Type: Individual
Name: Jessica Dena Bonner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: May 6, 2020
Last Updated: Jun 18, 2020

Practice Location

Address: 3838 N MISSISSIPPI AVE
City: Portland
State: Oregon
ZIP Code: 97227-1161
Phone: (503) 206-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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