Organization
MONIQUE NEBOLON, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE NEBOLON DO (PRESIDENT)
(541) 382-1395
Entity
Organization
Contact information
Practice address
2755 NW CROSSING DR, STE 213, BEND, OR 97701-7050
(541) 388-7950
(541) 312-4563
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO26262
OR
Other
Enumeration date
08/29/2006
Last updated
12/14/2007
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