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BONNIE CLARK
NPI 1063989960
Counselor - Mental Health in Bend, OR

Active since October 29, 2018
20370 POE SHOLES DR, BEND, OR 97703(541) 318-1377 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonnie Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNIE CLARK (NPI 1063989960) is an individual mental health provider in Bend, Oregon and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1063989960
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBONNIE CLARK
Location Address20370 POE SHOLES DRBend, OR 97703-7938
Mailing Address20370 Poe Sholes DrBend, OR 97703-7938
Phone(541) 318-1377
Sole ProprietorNo
Enumeration DateOctober 29, 2018
✔ NPI 1063989960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
20370 POE SHOLES DR, Bend, OR 97703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANONA KING
Counselor (Mental Health)
20370 POE SHOLES DR
BEND, OR 97703
Deschutes County (541) 318-1377
CLINTON COMO
Counselor (Mental Health)
20370 POE SHOLES DR
BEND, OR 97703
Deschutes County (541) 318-1377
PENNY SKOOG RN
Registered Nurse (Psychiatric/Mental Health)
20370 POE SHOLES DR
BEND, OR 97703
Deschutes County (541) 318-1377
TABITHA MARIE CANALES RN
Registered Nurse
20370 POE SHOLES DR
BEND, OR 97703
Deschutes County (541) 318-1377
LEXUS AGUIRRE
Counselor (Mental Health)
20370 POE SHOLES DR
BEND, OR 97703
Deschutes County (541) 318-1377
ANNE L PENDYGRAFT
Counselor (Mental Health)
20370 POE SHOLES DR
BEND, OR 97703
Deschutes County (541) 318-1377
LORNA KATHLEEN ILLINGWORTH RN
Registered Nurse
20370 POE SHOLES DR
BEND, OR 97703
Deschutes County (541) 318-1377
JENNIFER LESLIE BAKKER
Registered Nurse
20370 POE SHOLES DR
BEND, OR 97703
Deschutes County (541) 318-1377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Clark's NPI number?

The NPI number for Bonnie Clark is 1063989960. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Bonnie Clark located?

Bonnie Clark practices at 20370 Poe Sholes Dr, Bend, OR 97703. The listed phone number is (541) 318-1377.

What is Bonnie Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bonnie Clark was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.