Healthcare Provider Details

I. General information

NPI: 1447306790
Provider Name (Legal Business Name): BONNIE KATHLEEN LAMBERT PMHNP-BC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SW ADAMS AVE
HILLSBORO OR
97123-3874
US

IV. Provider business mailing address

215 SW ADAMS AVE
HILLSBORO OR
97123-3874
US

V. Phone/Fax

Practice location:
  • Phone: 503-957-3413
  • Fax:
Mailing address:
  • Phone: 503-957-3413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC2128
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201605781NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: