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1104831619
DENNIS NEIL BOURDETTE
PORTLAND, OR
NPI
1104831619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: OR MD12086)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
DENNIS NEIL BOURDETTE MD
3181 SW SAM JACKSON PARK RD DEPARTMENT OF NEUROLOGY, L226
PORTLAND, OR 97239-3011
Phone number: 503-494-7772
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Mailing Address
DENNIS NEIL BOURDETTE MD
10627 SW HOOD AVE
PORTLAND, OR 97219-7812
Phone number:
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