Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON R BOURNE, DDS, MS
ActiveDR. JASON R BOURNE, DDS, MS is a Orthodontics healthcare provider located in MARYSVILLE, Washington. NPI 1104922194 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MARYSVILLE, WA
Registration Details
- NPI Number
- 1104922194
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2006 (19.867916946543 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DE00009603 (WA)
Practice Information
- Address
-
815 STATE AVESUITE 3MARYSVILLE, WA, 982704254Browse WA providers · Browse ZIP 98270
- Phone
- 3606590211
- Fax
- 3606580716
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in MARYSVILLE, WA
| Name | Credential | NPI |
|---|---|---|
| DAN F SHAW | DMD | 1356654404 |
| ROBERT CHULSUNG LEE | D.D.S. | 1497188247 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.