Active NPIIndividual provider

Dr. Daniel J Bourque, DC

Chiropractor in Bend, Oregon

NPI Number1558438630
Practice location
354 NE Norton Ave, Suite 100, Bend, OR 97701-4392
Fax
541-389-1972
Last updated
December 30, 2014

Daniel Joseph Bourque is a Chiropractor based in Bend, OR. Daniel Joseph Bourque practices in Bend, OR and has the professional credentials of DC. The NPI Number for Daniel Joseph Bourque is 1558438630 and holds a License No. 3196 (OR). The current practice location address for Daniel Joseph Bourque is 354 NE Norton Ave, Suite 100, Bend, OR 97701-4392 and can be reached out via phone at 541-389-1191 and via fax at 541-389-1972.

Provider Profile Details

NPI Number
1558438630
Provider Name
Daniel Joseph Bourque
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
354 NE Norton Ave, Suite 100, Bend, OR 97701-4392
Phone Number
541-389-1191
Fax Number
541-389-1972
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
November 30, 2006
Last Update Date
December 30, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
354 NE Norton Ave
Suite 100
Bend, OR 97701-4392
City
Bend
State
Oregon
Zip
97701-4392
Phone Number
541-389-1191
Fax Number
541-389-1972
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
354 NE Norton Ave
Suite 100
Bend, OR 97701-4392
City
Bend
State
OR
Zip
97701-4392
Phone Number
541-389-1191
Fax Number
541-389-1972

License Information

License Number
3196
License State
OR
Taxonomy
Chiropractor · 111N00000X · 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 Dr. Daniel J Bourque, DC?

The NPI number of Dr. Daniel J Bourque, DC is 1558438630. It was assigned on November 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Daniel J Bourque, DC?

Dr. Daniel J Bourque, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in OR under license number 3196.

Where does Dr. Daniel J Bourque, DC practice?

The practice location is 354 NE Norton Ave, Suite 100, Bend, OR 97701-4392. The office can be reached at 541-389-1191 (phone) or 541-389-1972 (fax).

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 1558438630 directly on the NPPES registry website.

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