Provider Demographics
NPI:1518213149
Name:BONNIE JEAN SKAKEL
Entity Type:Organization
Organization Name:BONNIE JEAN SKAKEL
Other - Org Name:THREE SISTERS NATURAL HEALTH, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NATUROPATHIC DOCTOR & ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SKAKEL
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:541-639-9056
Mailing Address - Street 1:1020 SE 7TH AVE UNIT 14100
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97293-0815
Mailing Address - Country:US
Mailing Address - Phone:541-639-9056
Mailing Address - Fax:541-639-3590
Practice Address - Street 1:2955 N HWY 97 STE 200
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-7559
Practice Address - Country:US
Practice Address - Phone:541-639-9056
Practice Address - Fax:541-639-3590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty