person
Ms. Molly Laura Bourgault, NP
Adult Health Nurse Practitioner in Bend, Oregon
NPI 1326263500

Molly Laura Bourgault is an Adult Health Nurse Practitioner based in Bend, OR and is specialized in Adult Health. 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 (Oregon).

The current practice location address for Molly Laura Bourgault is 19537 Sager Loop, Bend, OR and can be reached out via phone at 858-401-3314.

Location: 19537 Sager Loop, Bend, OR, 97702
person
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
Fax Number
Provider Enumeration Date
04/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19537 Sager Loop
City
State
Zip
97702
Phone Number
858-401-3314
Fax Number
person
Provider Business Mailing Address Details
Address
19537 Sager Loop
City
State
Zip
97702
Phone Number
858-401-3314
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
16810 (California)
Definition
Definition to come...
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