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Deactivated NPI 1295738763 Deactivated / Inactive NPI Male Practitioner

William E Gibbon , DCND

Chiropractor • Washougal, WA

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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 Gibbon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 27, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

William Gibbon, DCND was a registered Chiropractor practicing in Washougal, WA. Throughout an active medical career spanning 1 years, William Gibbon provided care at the practice location at 1901 MAIN ST until profile deactivation on 2006-03-17.

Practice Location & Contact Primary Location

Practice Address

1901 Main St

Washougal, WA 986714116

Telephone 3608353150
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Washougal, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Washougal, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00001053

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Elsa Dearth

Massage Therapist

NPI 1073088175
NPI 1609973676

Doctor of Chiropractic

Fawn Tanner , LMP

Massage Therapist

NPI 1922305598

Licensed Massage Practitioner

Payton Folk , LMP

Massage Therapist

NPI 1942053194

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated August 12, 2019

Record deactivated on August 12, 2019

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Updated Practice Location April 28, 2008

Registered at 1901 MAIN ST, WASHOUGAL, WA 986714116 (Tel: 3608353150)

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Updated Business Mailing Address April 28, 2008

Registered at PO BOX 246, WASHOUGAL, WA 986710246 (Tel: 3608353150)

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Provider Name / Credentials Updated April 28, 2008

Recorded as WILLIAM GIBBON, D.C.N.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2008

Chiropractor (License #CH00001053 in WA)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2008

Naturopath (License #NT 00000382 in WA)

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NPI Profile Reactivated March 24, 2006

Record officially reactivated for active practice on March 24, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295738763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: April 28, 2008
Deactivation Date: March 17, 2006

Mailing Address

Po Box 246

Washougal, WA 986710246

Phone: 3608353150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.