Bobo Primary Care LLC
Nurse Practitioner, Adult Health in Vancouver, WA. Organization (NPI-2).
NPI number1669377578
StatusActive
Last updated in NPPESOct 12, 2026
Details
- NPI
- 1669377578
- Entity type
- Organization (NPI-2)
- Legal business name
- Bobo Primary Care LLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2026
- Certification date
- Oct 11, 2026
- Last updated
- Oct 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
Practice location
304 Se Hearthwood Blvd # 873933Vancouver, WA 98684-7551
Phone 503-877-5543
Mailing address
304 Se Hearthwood Blvd # 873933Vancouver, WA 98684-7551
Phone 503-877-5543 · Fax 778-769-4717
Authorized official
Bona Bobo
Owner
5038775543
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