Willard G Bertrand, DC
Individual provider Active NPI Rehabilitation Chiropractor · Union, OR
NPI 1497818769 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1497818769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 27-1655 (OR)
- Practice address
- 1493 N College St
Union, OR 97883-9227 - Phone
- (541) 805-9123
- Fax
- (541) 204-8826
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27-1655 | OR | MD | Rehabilitation Chiropractor |
| 1655 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 27-1655 | OR | Yes |
Addresses
Primary practice location
1493 N College St
Union, OR 97883-9227
Mailing address
1493 N College St
Union, OR 97883-9227
Phone (541) 805-9123
Other providers in Union, OR
- Joel Bender
- Brookshire Pharmacy Inc
- Tracy Lynette Case
- Melinda Sue Cator-Mead
- City of Union
- Catherine M Coffey
All providers in Union, OR · Rehabilitation Chiropractor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.