OrganizationActive
P. Bonebrake MD Child and Adolescent Psychiatry LLC
NPI 1043620925 · Adolescent and Children Mental Health Clinic/Center · Woodinville, WA
Provider details
- NPI number
- 1043620925
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Portia Bonebrake, Sole Member(425) 449-9710
- License
- 60097435 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
17220 127th Pl Ne Ste 101a
Woodinville, WA 98072-7965
Phone: (425) 449-9710
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 113
Kirkland, WA 98083-0113
Registry dates
- Enumerated
- 2014-05-01
- Last updated
- 2014-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.