Provider Demographics
NPI:1407151103
Name:LAMBERT, BONNIE C (DAOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:C
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3865 FAIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-9784
Mailing Address - Country:US
Mailing Address - Phone:541-490-7311
Mailing Address - Fax:
Practice Address - Street 1:3865 FAIRVIEW DR
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-9784
Practice Address - Country:US
Practice Address - Phone:541-490-7311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00338171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist