William Bolen
Specialist/Technologist • Ontario, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, William Bolen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
William Bolen was a registered Specialist/Technologist practicing in Ontario, OR. Throughout an active medical career spanning 4 years, William Bolen provided care at the practice location at 1997 SW 4TH AVE until profile deactivation on 2019-09-23.
Practice Location & Contact Primary Location
1997 Sw 4th Ave
Ontario, OR 979141944
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist/Technologist in Ontario, OR
Practicing in Ontario, OR (4 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235500000X
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 23, 2019
NPI status registered as active in NPPES database
Registered at 1997 SW 4TH AVE, ONTARIO, OR 979141944 (Tel: 5418896513)
Registered at 1997 SW 4TH AVE, ONTARIO, OR 979141944 (Tel: 5418896513)
Recorded as WILLIAM BOLEN
Specialist/Technologist (License #HAS-P-276799 in OR)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
1997 Sw 4th Ave
Ontario, OR 979141944
Phone: 5418896513
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