Individual
MR. DOUGLAS GRANT BORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
568 NE SAVANNAH DR, SUITE 2, BEND, OR 97701-4866
(541) 728-1562
Mailing address
568 NE SAVANNAH DR, SUITE 2, BEND, OR 97701-4866
(541) 728-1562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06769
OR
Other
Enumeration date
04/12/2012
Last updated
06/11/2012
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