Individual
WILLIAM ALSOP BOURS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 19TH AVE, FOREST GROVE, OR 97116-1909
(503) 357-6119
(503) 359-5750
Mailing address
3303 19TH AVE, FOREST GROVE, OR 97116-1909
(503) 357-6119
(503) 359-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08196
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263301
—
OR
01
—
MD08196
MED LICENSE
OR
Enumeration date
01/17/2007
Last updated
03/07/2023
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