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

Phillip M Cullison Bonner, MD

Individual provider Internal Medicine Physician · NPI 1013233758

Phillip M Cullison Bonner, MD is an Internal Medicine in Vancouver, Washington. Qualified in 2009, 17 years ago. Practices with Legacy Salmon Creek Hospital, a 313-clinician group and accepts Medicare assignment. Licensed in Alaska, Oregon and Washington.

Years since qualifying
17
Licensed in
AK, OR, WA
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2211 NE 139th St
Vancouver, WA 98686-2742
Phone: (360) 487-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD60648236 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD163266 (OR)
Hospitalist Physician Taxonomy 208M00000X · Licence 7734 (AK)

Record details

NPI number1013233758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2010
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address31001 Ne Timmen Rd, Ridgefield, WA 98642-7709

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Legacy Salmon Creek Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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