Organization
BOURS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ALSOP BOURS IV M.D. (PRESIDENT)
(503) 357-6119
Entity
Organization
Contact information
Practice address
3303 19TH AVE, FOREST GROVE, OR 97116-1909
(503) 357-6119
(503) 359-5750
Mailing address
3303 19TH AVE, FOREST GROVE, OR 97116-1909
(503) 357-6119
(503) 359-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08196
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263301
—
OR
01
—
MD08196
MEDICAL LICENSE
OR
Enumeration date
02/28/2007
Last updated
03/07/2023
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