- Practice location
- 19537 Sager Loop, Bend, OR 97702
- Phone
- 858-401-3314
- Fax
- —
- Last updated
- January 29, 2018
Molly Laura Bourgault is a Nurse Practitioner, Adult Health based in Bend, OR. Molly Laura Bourgault practices in Bend, OR and has the professional credentials of NP. The NPI Number for Molly Laura Bourgault is 1326263500 and holds a License No. 16810 (CA). The current practice location address for Molly Laura Bourgault is 19537 Sager Loop, Bend, OR 97702 and can be reached out via phone at 858-401-3314.
Provider Profile Details
- NPI Number
- 1326263500
- Provider Name
- Molly Laura Bourgault
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19537 Sager Loop, Bend, OR 97702
- Phone Number
- 858-401-3314
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 14, 2007
- Last Update Date
- January 29, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19537 Sager Loop
Bend, OR 97702 - City
- Bend
- State
- Oregon
- Zip
- 97702
- Phone Number
- 858-401-3314
Provider Business Mailing Address Details
- Address
- 19537 Sager Loop
Bend, OR 97702 - City
- Bend
- State
- OR
- Zip
- 97702
- Phone Number
- 858-401-3314
License Information
- License Number
- 16810
- License State
- CA
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Molly L Bourgault, NP?
The NPI number of Ms. Molly L Bourgault, NP is 1326263500. It was assigned on April 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Molly L Bourgault, NP?
Ms. Molly L Bourgault, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CA under license number 16810.
Where does Ms. Molly L Bourgault, NP practice?
The practice location is 19537 Sager Loop, Bend, OR 97702. The office can be reached at 858-401-3314 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326263500 directly on the NPPES registry website.