Bourdette, Dennis Neil
Bourdette, Dennis Neil is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Department Of Neurology, L226, Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bourdette, Dennis Neil can be contacted via phone (503) 494-7772.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Department Of Neurology, L226
Portland OR 97239-3011
Phone: (503) 494-7772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD12086 | Oregon |
Profile Details
| NPI number | 1104831619 |
|---|---|
| LBN Legal business name | Bourdette, Dennis Neil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104831619 | NPPES |
| Oregon | MEDICAID | 267773 |
Popular Providers
-
Smith, William Brewster
1040 Nw 22Nd Ave Suite 420, Portland OR 97210-3057 -
Wilson, Reed Calhoun
1040 Nw 22Nd Ave Suite 420, Portland OR 97210-3057 -
Gibbs, Daniel M
3303 Sw Bond Ave Suite 8 (Mail Code Ch8C), Portland OR 97239-4501 -
Lupu, Vitalie Dionis
9155 Sw Barnes Rd Suite 317, Portland OR 97225-6625 -
North, Elizabeth A.
501 N Graham St Suite 515, Portland OR 97227-1654 -
Sax, Tracy Williams
5050 Ne Hoyt St Suite 315, Portland OR 97213-2991 -
Leonard, Hubert A
9427 Sw Barnes Rd Suite 595, Portland OR 97225-6652 -
Goslin, Kimberly Louise
5050 Ne Hoyt St Suite 315, Portland OR 97213-2982