Provider Demographics
NPI:1396890406
Name:BOND, WILLIAM C (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:BOND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 SPRING AVENUE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850
Mailing Address - Country:US
Mailing Address - Phone:541-963-5466
Mailing Address - Fax:541-963-7606
Practice Address - Street 1:1002 SPRING AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-2518
Practice Address - Country:US
Practice Address - Phone:541-963-5466
Practice Address - Fax:541-963-7606
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27 2120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor