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Ms. Olesea Bonanno, ARNP
Family Nurse Practitioner in Lake Oswego, Oregon
NPI 1386128056

Olesea Bonanno is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Olesea Bonanno practices in Lake Oswego, OR and has the professional credentials of ARNP. The NPI Number for Olesea Bonanno is 1386128056 and holds a License No. ARNP9380372 (Oregon).

The current practice location address for Olesea Bonanno is 4004 Kruse Way Pl Ste 300, Lake Oswego, OR and can be reached out via phone at 503-216-1500.

Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386128056
Provider Name
Olesea Bonanno
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
4004 Kruse Way Pl Ste 300, Lake Oswego, OR, 97208-3158
Phone Number
503-216-1500
Fax Number
Provider Enumeration Date
09/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102291000 05 FL
K9170 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
4004 Kruse Way Pl Ste 300
City
Lake Oswego
State
Oregon
Zip
97035-2479
Phone Number
503-216-1500
Fax Number
person
Provider Business Mailing Address Details
Address
4004 Kruse Way Pl Ste 300
City
Lake Oswego
State
Oregon
Zip
97035-2479
Phone Number
503-216-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP9380372 (Florida)
Definition
Definition to come...
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