Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELINE BOURDETTE, D.M.D.
ActiveDR. JACQUELINE BOURDETTE, D.M.D. is a Pediatric Dentistry healthcare provider located in PORTLAND, Oregon. NPI 1538166517 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PORTLAND, OR
Registration Details
- NPI Number
- 1538166517
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2005 (20.920868500992 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D6350 (OR)
Practice Information
- Address
-
2350 SW MULTNOMAH BLVDSUITE JPORTLAND, OR, 972193999Browse OR providers · Browse ZIP 97219
- Phone
- 5032449073
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. NOEL VEE LARSEN | D.M.D. | 1437156734 |
| DR. RICHARD I. PARK | DMD | 1306843669 |
| DR. MICHAEL CHARLES ROYSE | D.M.D. | 1336146307 |
| DR. GARY RANDALL NELSON | D.D.S. | 1598746687 |
| MR. SAMER HAKIMEH | DDS, MS | 1760407688 |
| DR. KAROLE H WILSON | D.M.D., PC | 1164445383 |
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.