NPI 1063340974

Bonnie Porter, BA

Practitioner Community Health Worker Pocatello, ID

Practice location

Address: 805 N Arthur Ave, Pocatello, ID 83204-2803
Phone: (208) 760-2144

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Idaho →

Registry record

NPI: 1063340974
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2026
Record last updated: 11 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.