Provider Type Icon

LAURENCE FENN BOURLAND JR. D.C. P.C. NPI 1699079475


NPI Information

NPI: 1699079475
Provider Name: LAURENCE FENN BOURLAND JR. , D.C., P.C.

Doing Business As: BOURLAND CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1623 SE ENTERPRISE CIR
HILLSBORO, OR
ZIP 97123
Phone: (503) 640-2614
Get Directions

LAURENCE FENN BOURLAND JR. , D.C., P.C. is a chiropractor in Hillsboro, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LAURENCE FENN BOURLAND JR. , D.C., P.C. NPI is 1699079475. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bourland Chiropractic Clinic.

The provider's business location address is:

1623 SE ENTERPRISE CIR
HILLSBORO, OR
ZIP 97123-064
Phone: (503) 640-2614
Fax: (503) 648-2637

The provider's authorized official is Laurence Fenn Bourland .
The authorized official title is President and has the following contact phone number (503) 640-2614.

The enumeration date for this NPI number is 1/7/2011 and was last updated on 1/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1194OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R0000QGBBDMEDICARE UPINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.