Provider Demographics
NPI:1679243026
Name:BHONSLE, GIRIJADEVI I (ND)
Entity type:Individual
Prefix:
First Name:GIRIJADEVI
Middle Name:I
Last Name:BHONSLE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:GIRIJA
Other - Middle Name:
Other - Last Name:BHONSLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:3025 S CORBETT AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-4858
Mailing Address - Country:US
Mailing Address - Phone:801-864-1285
Mailing Address - Fax:
Practice Address - Street 1:3025 S CORBETT AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201-4858
Practice Address - Country:US
Practice Address - Phone:503-552-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath