Individual
DR. PATRICK DENIS BOURLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
233 SE WASHINGTON ST, HILLSBORO, OR 97123-4023
(503) 648-1088
(503) 648-0748
Mailing address
233 SE WASHINGTON ST, HILLSBORO, OR 97123-4023
(503) 648-1088
(503) 648-0748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273239
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0147111
WASHINGTON STATE LABOR
WA
01
—
023051002
BLUE CROSS
OR
01
—
R102368
CLINIC MEDICARE NUMBER
OR
Enumeration date
11/06/2006
Last updated
04/12/2011
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