Individual
MR. THOMAS J BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9617 7TH AVE SE, EVERETT, WA 98208-3710
(425) 513-8509
Mailing address
15436 BEL RED RD, REDMOND, WA 98052-5536
(425) 644-4100
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
60125138
WA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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