Organization Active NPI

William Trueblood PC

  • Clinical Neuropsychologist
  • Bend, OR
National Provider Identifier
1467752303
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1200 Issued in OR
Legal business name
WILLIAM TRUEBLOOD PC
Practice address
26 NW Irving Ave
Bend, OR 97701-2012
Phone
(541) 385-5203
NPI assigned
Oct 26, 2010
Last updated
Oct 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Trueblood Trueblood
Title
President
Phone
(541) 385-5203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1200 OR Primary

Addresses

Primary practice location

26 NW Irving Ave
Bend, OR 97701-2012

Mailing address

26 NW Irving Ave
Bend, OR 97701-2012

National Provider Directory

National Provider Directory

Locations

26 NW Irving Ave
Bend, OR 97703
Phone (541) 385-5203

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1467752303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 NW IRVING AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 NW IRVING AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012012",
            "telephone_number": "541-385-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM TRUEBLOOD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "TRUEBLOOD",
        "authorized_official_first_name": "WILLIAM TRUEBLOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-385-5203"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "1200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.