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Individual

MR. JAMES M BOURDET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1270 CENTER ST NE, SALEM, OR 97301-4113
(503) 581-7232
(503) 581-6511
Mailing address
12630 RIDGEWOOD RD SE, JEFFERSON, OR 97352-9217
(541) 327-3674

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0521
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
237107
OR
Enumeration date
07/05/2005
Last updated
04/04/2008
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