MEDICARE: BONNIE JEAN SKAKEL

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
2	175F00000X	Naturopath

General Provider Information

NPI Number	:	1518213149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BONNIE JEAN SKAKEL

Provider Business Mailing Address
First Line	:	1020 SE 7TH AVE UNIT 14100
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97293-0815
Country	:	US
Telephone Number	:	541-639-9056
Fax Number	:	541-639-3590

Provider Business Practice Location Address
First Line	:	2955 N HWY 97 STE 200
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-7559
Country	:	US
Telephone Number	:	541-639-9056
Fax Number	:	541-639-3590

Authorized Official
Title or Position	:	NATUROPATHIC DOCTOR & ACUPUNCTURIST
Name	:	DR. BONNIE JEAN SKAKEL
Credential	:	N.D., L.AC.
Telephone Number	:	541-639-9056

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	01/26/2021

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Directions to “BONNIE JEAN SKAKEL ” Practice Location

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