BONNIE REAGAN M.D. – NPI #1255306205
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BONNIE REAGAN is a physician located in PORTLAND, OR. NPPES has assigned the NPI number 1255306205 to BONNIE REAGAN on February 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BONNIE REAGAN below.

NPI Profile for
BONNIE REAGAN

NPI Number
1255306205
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BONNIE REAGAN
Credentials
M.D.
Primary location
541 NE 20TH AVE
SUITE210
PORTLAND, OR 97232-2862
Phone: (503) 233-6940 Fax: (503) 236-2676
Mailing address
2406 NE 19TH
PORTLAND, OR 97212
Phone: (503) 287-2089 Fax: (503) 236-2676
Updated
Identifiers

Identifiers for BONNIE REAGAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERWA DEPT. OF L&IWA49531
MEDICAIDOR162032
MEDICAIDWA8154130
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OR 14470

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.