Active NPIIndividual provider

Kaley A Bourgeois, ND

Naturopath in Tigard, Oregon

NPI Number1487905428
Practice location
9735 SW Shady Ln Ste 303, Tigard, OR 97223-5481
Fax
—
Last updated
February 21, 2022

Kaley Anne Bourgeois is a Naturopath based in Tigard, OR. Kaley Anne Bourgeois practices in Tigard, OR and has the professional credentials of ND. The NPI Number for Kaley Anne Bourgeois is 1487905428 and holds a License No. 1896 (OR). The current practice location address for Kaley Anne Bourgeois is 9735 SW Shady Ln Ste 303, Tigard, OR 97223-5481 and can be reached out via phone at 503-594-7373.

Provider Profile Details

NPI Number
1487905428
Provider Name
Kaley Anne Bourgeois
Credential
ND
Provider Entity Type
Individual
Gender
Female
Address
9735 SW Shady Ln Ste 303, Tigard, OR 97223-5481
Phone Number
503-594-7373
Primary Taxonomy
Naturopath · 175F00000X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2012
Last Update Date
February 21, 2022
Certification Date
February 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
9735 SW Shady Ln Ste 303
Tigard, OR 97223-5481
City
Tigard
State
Oregon
Zip
97223-5481
Phone Number
503-594-7373
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
9735 SW Shady Ln Ste 303
Tigard, OR 97223-5481
City
Tigard
State
OR
Zip
97223-5481
Phone Number
503-594-7373

License Information

License Number
1896
License State
OR
Taxonomy
Naturopath · 175F00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kaley A Bourgeois, ND?

The NPI number of Kaley A Bourgeois, ND is 1487905428. It was assigned on October 1, 2012 and is currently active in the NPPES registry.

What is the specialty of Kaley A Bourgeois, ND?

Kaley A Bourgeois, ND is registered under the primary taxonomy Naturopath (code 175F00000X), licensed in OR under license number 1896.

Where does Kaley A Bourgeois, ND practice?

The practice location is 9735 SW Shady Ln Ste 303, Tigard, OR 97223-5481. The office can be reached at 503-594-7373 (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 1487905428 directly on the NPPES registry website.

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