Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Olesea Bonanno, ARNP

Individual provider Family Nurse Practitioner · NPI 1386128056

MS. Olesea Bonanno, ARNP is a Nurse Practitioner in Lake Oswego, Oregon. Qualified in 2018, 8 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Oregon.

Years since qualifying
8
Licensed in
FL, OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

4004 Kruse Way Pl Ste 300
Lake Oswego, OR 97035-2479
Phone: (503) 216-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10004854 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP9380372 (FL)

Record details

NPI number1386128056
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedSeptember 19, 2018
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Oswego