- Practice location
- 334 NE Irving Ave, Ste 102, Bend, OR 97701-4710
- Phone
- 512-736-6122
- Fax
- 541-617-0377
- Last updated
- March 2, 2011
Ileana Bourland is an Acupuncturist based in Bend, OR. Ileana Bourland practices in Bend, OR and has the professional credentials of MSOM LICAC. The NPI Number for Ileana Bourland is 1861596074 and holds a License No. AC153140 (OR). The current practice location address for Ileana Bourland is 334 NE Irving Ave, Ste 102, Bend, OR 97701-4710 and can be reached out via phone at 512-736-6122 and via fax at 541-617-0377.
Provider Profile Details
- NPI Number
- 1861596074
- Provider Name
- Ileana Bourland
- Credential
- MSOM LICAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 334 NE Irving Ave, Ste 102, Bend, OR 97701-4710
- Phone Number
- 512-736-6122
- Fax Number
- 541-617-0377
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 8, 2006
- Last Update Date
- March 2, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 334 NE Irving Ave
Ste 102
Bend, OR 97701-4710 - City
- Bend
- State
- Oregon
- Zip
- 97701-4710
- Phone Number
- 512-736-6122
- Fax Number
- 541-617-0377
Provider Business Mailing Address Details
- Address
- 334 NE Irving Ave
Ste 102
Bend, OR 97701-4710 - City
- Bend
- State
- OR
- Zip
- 97701-4710
- Phone Number
- 512-736-6122
- Fax Number
- 541-617-0377
License Information
- License Number (1)
- AC153140
- License State (1)
- OR
- Taxonomy (1)
- Acupuncturist · 171100000X · Primary
- License Number (2)
- AC00534
- License State (2)
- TX
- Taxonomy (2)
- Acupuncturist · 171100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Acupuncturists near Bend, OR
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Frequently Asked Questions
What is the NPI number of Miss Ileana Bourland, MSOM LICAC?
The NPI number of Miss Ileana Bourland, MSOM LICAC is 1861596074. It was assigned on September 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Miss Ileana Bourland, MSOM LICAC?
Miss Ileana Bourland, MSOM LICAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in OR under license number AC153140.
Where does Miss Ileana Bourland, MSOM LICAC practice?
The practice location is 334 NE Irving Ave, Ste 102, Bend, OR 97701-4710. The office can be reached at 512-736-6122 (phone) or 541-617-0377 (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 1861596074 directly on the NPPES registry website.