Kristin H Bourret PAC

NPI 1073555306 - Physician Assistant - 363A00000X

NPI Details
NPI 1073555306
Gender Female
Enumeration Date 06/12/2006
Last Updated 03/14/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-7810
Fax
Business Location
PO BOX 3590
PORTLAND OR, 97208-3590, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Oregon
License Number PA01095
Remove 1073555306 NPI Number
 

According to our database, Kristin H Bourret PAC NPI is 1073555306, taxonomy code is 363A00000X and license number is PA01095, license state is located at Oregon. Kristin H Bourret PAC physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Kristin H Bourret PAC has the Individual type.

Sponsored links

1073555306 NPI number is provided on an as is basis without warranty of any kind. 1073555306 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin H Bourret PAC are for informational purposes only.