Bourdette, Jacqueline
Bourdette, Jacqueline is an individual health care provider with primary practice located at 2350 Sw Multnomah Blvd Suite J, Portland OR 97219-3999. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bourdette, Jacqueline can be contacted via phone (503) 244-9073.Contact Information
Primary practice address
2350 Sw Multnomah Blvd Suite J
Portland OR 97219-3999
Phone: (503) 244-9073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D6350 | Oregon |
Profile Details
| NPI number | 1538166517 |
|---|---|
| LBN Legal business name | Bourdette, Jacqueline |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| 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.
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