Organization
WILLIAM TRUEBLOOD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TRUEBLOOD TRUEBLOOD (PRESIDENT)
(541) 385-5203
Entity
Organization
Contact information
Practice address
26 NW IRVING AVE, BEND, OR 97701-2012
(541) 385-5203
Mailing address
26 NW IRVING AVE, BEND, OR 97701-2012
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1200
OR
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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