Search › Washington › 101Y00000X
Shad Bonser, AAC
NPI 1124728506 · on the registry since 2023
Practice
- Address
- 1408 12th Ave
Longview, WA 98632 - Phone
- (360) 998-3050
- Fax
- (360) 200-6736
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 175T00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington