NPI 1003193657
William Simon
Practice location
- Address
- 1592 Monroe St, North Bend, OR 97459-3657
- Phone
- (541) 756-2048
- Fax
- (541) 756-2058
- Mailing address
- 3587 Heathrow Way, Medford, OR 97504-4004
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003193657
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Nov 2011
- Record last updated
- 20 Oct 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.