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MISS ILEANA BOURLAND MSOM LICAC NPI 1861596074


NPI Information

NPI: 1861596074
Provider Name: MISS ILEANA BOURLAND, MSOM LICAC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
334 NE IRVING AVE
STE 102
BEND, OR
ZIP 97701
Phone: (512) 736-6122
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MISS Ileana Bourland, MSOM LICAC is an acupuncturist in Bend, OR. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. MISS Ileana Bourland, MSOM LICAC NPI is 1861596074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

334 NE IRVING AVE
STE 102
BEND, OR
ZIP 97701-710
Phone: (512) 736-6122
Fax: (541) 617-0377

The enumeration date for this NPI number is 9/8/2006 and was last updated on 3/2/2011.


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
1171100000XAcupuncturistAC00534TEXASNo
2171100000XAcupuncturistAC153140OREGONYes

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: 4/28/2024

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