Provider Demographics
NPI:1164941894
Name:BOND, CHARLES ANSON (MSW)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:ANSON
Last Name:BOND
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2073 NW UPSALA DR
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-7264
Mailing Address - Country:US
Mailing Address - Phone:360-720-4401
Mailing Address - Fax:
Practice Address - Street 1:530 NE MIDWAY BLVD
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-2660
Practice Address - Country:US
Practice Address - Phone:360-544-3800
Practice Address - Fax:360-544-3801
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical