Active NPIIndividual providerSole proprietor

Mr. Douglas G Bordan, PT

Physical Therapist in Bend, Oregon

NPI Number1649537945
Practice location
568 NE Savannah Dr, Suite 2, Bend, OR 97701-4866
Fax
—
Last updated
June 11, 2012

Douglas Grant Bordan is a Physical Therapist based in Bend, OR. Douglas Grant Bordan practices in Bend, OR and has the professional credentials of PT. The NPI Number for Douglas Grant Bordan is 1649537945 and holds a License No. 06769 (OR). The current practice location address for Douglas Grant Bordan is 568 NE Savannah Dr, Suite 2, Bend, OR 97701-4866 and can be reached out via phone at 541-728-1562.

Provider Profile Details

NPI Number
1649537945
Provider Name
Douglas Grant Bordan
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
568 NE Savannah Dr, Suite 2, Bend, OR 97701-4866
Phone Number
541-728-1562
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 12, 2012
Last Update Date
June 11, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
568 NE Savannah Dr
Suite 2
Bend, OR 97701-4866
City
Bend
State
Oregon
Zip
97701-4866
Phone Number
541-728-1562
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
568 NE Savannah Dr
Suite 2
Bend, OR 97701-4866
City
Bend
State
OR
Zip
97701-4866
Phone Number
541-728-1562

License Information

License Number
06769
License State
OR
Taxonomy
Physical Therapist · 225100000X · 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 Mr. Douglas G Bordan, PT?

The NPI number of Mr. Douglas G Bordan, PT is 1649537945. It was assigned on April 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Douglas G Bordan, PT?

Mr. Douglas G Bordan, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 06769.

Where does Mr. Douglas G Bordan, PT practice?

The practice location is 568 NE Savannah Dr, Suite 2, Bend, OR 97701-4866. The office can be reached at 541-728-1562 (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 1649537945 directly on the NPPES registry website.

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