Organization
LAURENCE FENN BOURLAND JR. , D.C., P.C.
Active
Other names
Bourland Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE FENN BOURLAND JR. D.C. (PRESIDENT)
(503) 640-2614
Entity
Organization
Contact information
Practice address
1623 SE ENTERPRISE CIR, HILLSBORO, OR 97123-5064
(503) 640-2614
(503) 648-2637
Mailing address
1623 SE ENTERPRISE CIR, HILLSBORO, OR 97123-5064
(503) 640-2614
(503) 648-2637
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1194
OR
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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