Healthcare Provider Details

I. General information

NPI: 1487843900
Provider Name (Legal Business Name): BONNIE TOERING LPC, CADC I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 03/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14255 SW BRIGADOON CT
BEAVERTON OR
97005-3369
US

IV. Provider business mailing address

6419 NE GOING ST
PORTLAND OR
97218-3137
US

V. Phone/Fax

Practice location:
  • Phone: 503-641-1475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: