Bourland, Laurence Fenn

Bourland, Laurence Fenn is an individual health care provider with primary practice located at 1623 Se Enterprise Cir , Hillsboro OR 97123-5064. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bourland, Laurence Fenn can be contacted via phone (503) 640-2614.

Contact Information

Primary practice address
1623 Se Enterprise Cir Hillsboro OR 97123-5064
Fax: (503) 648-2637
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 27 1194 Oregon

Profile Details

NPI number 1851425821
LBN Legal business name Bourland, Laurence Fenn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Sep 24th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851425821 NPPES
Oregon Other 17032 STATE WORKER COMPENSATION

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