Individual
MR. WILLIAM DANIEL BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
715 SW DORION AVE, PENDLETON, OR 97801-2070
(541) 429-8800
(541) 429-8822
Mailing address
PO BOX 882, PENDLETON, OR 97801-0882
(541) 429-8800
(541) 429-8822
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20-CRM-217
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-CRM-217
MHACBO
OR
Enumeration date
08/25/2020
Last updated
08/25/2020
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