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Individual

MRS. SHERRY LOUISE BOURDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 653-6440
Mailing address
1830 SW DICKINSON LN, PORTLAND, OR 97219-9602
(503) 246-8095

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
076036950N3
OR

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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