Individual
HEIDI MOSS BOURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE VAMC P-3-GP1, PORTLAND, OR 97239-3011
(888) 233-8305
(503) 721-7903
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE VAMC P-3-GP1, PORTLAND, OR 97239-3011
(888) 233-8305
(503) 721-7903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18119
OR
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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