Provider Demographics
NPI:1225588320
Name:WILLIAM A. ECONE D.C.,P.C.
Entity Type:Organization
Organization Name:WILLIAM A. ECONE D.C.,P.C.
Other - Org Name:ECONE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:ECONE
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:503-203-6855
Mailing Address - Street 1:8835 SW CANYON LN STE 302
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-3453
Mailing Address - Country:US
Mailing Address - Phone:503-203-6855
Mailing Address - Fax:503-954-1802
Practice Address - Street 1:8835 SW CANYON LN STE 302
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-3453
Practice Address - Country:US
Practice Address - Phone:503-203-6855
Practice Address - Fax:503-954-1802
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ECONE CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2288261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORT67581Medicare UPIN
OR120891Medicare PIN