MEDICARE: DR. BONNIE SKAKEL N.D., L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC155249	OR
2	175F00000X	Naturopath	1849	OR

General Provider Information

NPI Number	:	1588941728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BONNIE SKAKEL N.D., L.AC.

Provider Business Mailing Address
First Line	:	3193 NW CLUBHOUSE DR
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-7544
Country	:	US
Telephone Number	:	541-639-9056
Fax Number	:

Provider Business Practice Location Address
First Line	:	2955 N HWY 97
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-7559
Country	:	US
Telephone Number	:	541-639-9056
Fax Number	:	541-600-4731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	01/26/2021

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Directions to “ DR. BONNIE SKAKEL N.D., L.AC.” Practice Location

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