Individual
STEVEN C BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11800 NE 128TH ST, KIRKLAND, WA 98034-7208
(425) 899-2173
Mailing address
11800 NE 128TH ST, KIRKLAND, WA 98034-7208
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
00149086
WA
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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