Monique Nebolon, DO, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO26262 Issued in OR

Legal business name

MONIQUE NEBOLON, DO, PC

Practice address

2755 NW Crossing Dr
Ste 213
Bend, OR 97701-7050

Phone

(541) 388-7950

Fax

(541) 312-4563

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Monique Nebolon, DO

Title

President

Phone

(541) 382-1395

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1760591507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 NE SANDY BLVD",
            "address_2": "PMB 375",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "503-284-8841",
            "fax_number": "503-282-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 NW CROSSING DR",
            "address_2": "STE 213",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017050",
            "telephone_number": "541-388-7950",
            "fax_number": "541-312-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE NEBOLON, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "NEBOLON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-382-1395",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "DO26262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa A Monaco, B.S.
• Monarch Medical Group LLC
• Travis Louis Monchamp, MD
• Janaye Arielle Monet, CSWA
• Meghan Patricia Monfort
• Elia Lucia Montano
• Jill Marian Montecucco, MA, LPC
• Maria Jose Montenegro Oreamuno
• Anthony J Monteverdi, MD
• Brandon Montgomery, RPH

• Psychiatry Physician in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.