Individual provider · Type 1 NPI

Olesea Bonanno, ARNP

Family Nurse Practitioner · Lake Oswego, OR

NPI number 1386128056 Active

Practice location

4004 Kruse Way Pl Ste 300
Lake Oswego, OR 97035-2479

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XARNP9380372 (FL)
Family Nurse Practitioner Primary 363LF0000X10004854 (OR)

Family Nurse Practitioner: Definition to come...

26 other providers at this address

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About NPI 1386128056

Olesea Bonanno, ARNP's National Provider Identifier is 1386128056, issued on Sep 19, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Oswego, OR. The record was last updated on Oct 27, 2023.