Individual
DR. CHARLES MICHAEL BOURLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
524 SPRUCE ST, BROOKINGS, OR 97415
(541) 469-5958
Mailing address
PO BOX 243, BROOKINGS, OR 97415-0012
(541) 469-5958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2672
OR
Other
Enumeration date
03/30/2007
Last updated
07/14/2020
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