OrganizationActive
Misty Bonham LLC
NPI 1417729872 · Clinical Social Worker · Canby, OR
Misty Bonham LLC is a Clinical Social Worker organization in Canby, OR (NPI 1417729872).
Provider details
- NPI number
- 1417729872
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Misty Bonham, Owner/Lcsw(503) 427-8255
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
358 Nw 1st Ave
Canby, OR 97013-3533
Phone: (503) 427-8255
Street-level locationGet directions
Mailing address
Po Box 755
Canby, OR 97013-0755
Other names (DBA / former)
- Doing business as
- Edelweiss Counseling
Registry dates
- Enumerated
- 2023-10-27
- Last updated
- 2023-10-27
- Certified
- 2023-10-27
Frequently asked questions
- What is Misty Bonham LLC's NPI number?
- Misty Bonham LLC's National Provider Identifier (NPI) is 1417729872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Misty Bonham LLC?
- Misty Bonham LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Misty Bonham LLC located?
- Misty Bonham LLC's practice location on file with NPPES is 358 Nw 1st Ave, Canby, OR 97013-3533.
- What is Misty Bonham LLC's phone number?
- The practice phone number listed in the NPPES registry for Misty Bonham LLC is (503) 427-8255.
- Who is the authorized official for Misty Bonham LLC?
- The authorized official listed on Misty Bonham LLC's NPPES record is Misty Bonham, Owner/Lcsw. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Misty Bonham LLC's NPI active?
- Yes — Misty Bonham LLC's NPI (1417729872) is active in the NPPES registry as of the last update on 2023-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.