Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RODNEY W BOURDAGE, O.D.
Active Sole ProprietorDR. RODNEY W BOURDAGE, O.D. is a Optometrist healthcare provider located in WALDPORT, Oregon. NPI 1366591026 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WALDPORT, OR
Registration Details
- NPI Number
- 1366591026
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.565777028653 yrs)
- Last Updated
- Mar 13, 2008
- License
-
1177AT (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
525 NW WILLOWWALDPORT, OR, 973940888Browse OR providers · Browse ZIP 97394
- Phone
- 5415634100
- Fax
- 5415634468
- Primary Specialty
-
Optometrist
152W00000X
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.