Healthcare Provider Details

I. General information

NPI: 1114475035
Provider Name (Legal Business Name): ESTHER BONDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2016
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 NW CREST DR
CORVALLIS OR
97330-1809
US

IV. Provider business mailing address

3350 NW CREST DR
CORVALLIS OR
97330-1809
US

V. Phone/Fax

Practice location:
  • Phone: 360-574-3141
  • Fax:
Mailing address:
  • Phone: 602-695-4218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR9124
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: