Provider Demographics
NPI:1912675521
Name:APON, BAILEY CHRISTOPHER (MSW, CSWA)
Entity type:Individual
Prefix:MR
First Name:BAILEY
Middle Name:CHRISTOPHER
Last Name:APON
Suffix:
Gender:M
Credentials:MSW, CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 SW COLUMBIA ST
Mailing Address - Street 2:UNIT A
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702
Mailing Address - Country:US
Mailing Address - Phone:541-633-4591
Mailing Address - Fax:
Practice Address - Street 1:296 SW COLUMBIA ST STE A
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1020
Practice Address - Country:US
Practice Address - Phone:541-633-4591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA14063104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker