Individual
NEIL BOURJAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 673-0611
Mailing address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 673-0611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004453
CO
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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