Provider Demographics
NPI:1588941728
Name:SKAKEL, BONNIE (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:
Last Name:SKAKEL
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3193 NW CLUBHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-7544
Mailing Address - Country:US
Mailing Address - Phone:541-639-9056
Mailing Address - Fax:
Practice Address - Street 1:2955 N HWY 97
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-7559
Practice Address - Country:US
Practice Address - Phone:541-639-9056
Practice Address - Fax:541-600-4731
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC155249171100000X
OR1849175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist