NPI 1710482013 · live from the CMS NPI Registry
Mary Clare Bohnett, MD
Dermatology in Clackamas, OR. National Provider Identifier 1710482013, active.
NPI record
| NPI | 1710482013 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015 |
| Practice phone | 503-962-1840 |
| Mailing address | Po Box 3158, Portland, OR 97208 |
| Enumerated | March 28, 2018 |
| Last updated | December 2, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD210673 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.