Provider Demographics
NPI:1447306790
Name:LAMBERT, BONNIE KATHLEEN (PMHNP-BC, LPC)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:KATHLEEN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:PMHNP-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SW ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-3874
Mailing Address - Country:US
Mailing Address - Phone:503-957-3413
Mailing Address - Fax:
Practice Address - Street 1:215 SW ADAMS AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-3874
Practice Address - Country:US
Practice Address - Phone:503-957-3413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2128101YP2500X, 101YP2500X
OR201605781NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health