MICHAEL HAL BOURNE MD NPI 1881030443

NPI Information

NPI: 1881030443
Provider Name: MICHAEL HAL BOURNE, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: OREGON CLINIC PC

PECOS Registration: Yes

Address:
9427 SW BARNES RD STE 296
PORTLAND, OR
ZIP 97225
Phone: (503) 297-3778
Get Directions

Michael Hal Bourne, MD is a pulmonary disease internal medicine in Portland, OR with 11 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Michael Hal Bourne, MD NPI is 1881030443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year:2013

The provider's business location address is:

9427 SW BARNES RD STE 296
PORTLAND, OR
ZIP 97225-667
Phone: (503) 297-3778
Fax: (503) 297-7853

The NPI 1881030443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2013 and was last updated on 11/22/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	MD191042	OREGON	Yes
2	207R00000X	Internal Medicine		57982	MINNESOTA	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	MD191042	OREGON	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	57982	MINNESOTA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2126514	MEDICAID	WASHINGTON
2	500761546	MEDICAID	OREGON

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

NPI Synchronization or Removal

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