Provider Demographics
NPI:1871997353
Name:SINGMAN, BONNIE CHARLOTTE (MA)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:CHARLOTTE
Last Name:SINGMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 SE 13TH AVE # H
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-7101
Mailing Address - Country:US
Mailing Address - Phone:619-289-7604
Mailing Address - Fax:
Practice Address - Street 1:8301 SE 13TH AVE # H
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-7101
Practice Address - Country:US
Practice Address - Phone:619-289-7604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor