Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW EDWARD BOURG, DMD
ActiveMR. MATTHEW EDWARD BOURG, DMD is a Dentist healthcare provider located in PORTLAND, Oregon. NPI 1902994312 is currently active in the NPPES registry. Verify at CMS.
Dentist · PORTLAND, OR
Registration Details
- NPI Number
- 1902994312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2006 (19.821752713139 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D6261 (OR)
Practice Information
- Address
-
17236 SE STARK STPORTLAND, OR, 972334546Browse OR providers · Browse ZIP 97233
- Phone
- 5032541260
- Fax
- 5032541494
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. MARK MUTSCHLER | DDS, MS | 1467455360 |
| DR. DENNIS CRANDALL NICOLA | D.D.S. | 1619974607 |
| DR. MARY E FISCHER | D.M.D. | 1184622276 |
| DR. ROBERT L RODRIGUEZ | D.M.D. | 1295733046 |
| DR. DANIEL L RODRIGUEZ | D.D.S. | 1083612816 |
| RICHARD D MERCER | D.M.D. | 1679572424 |
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.