DENNIS NEIL BOURDETTE MD
NPI 1104831619
Psychiatry & Neurology - Neurology in Portland, OR
About Dennis Neil Bourdette Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENNIS NEIL BOURDETTE MD (NPI 1104831619) is an individual neurology provider in Portland, Oregon, licensed in Oregon (MD12086) and active in the NPI registry since July 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dennis Bourdette's NPI number?
The NPI number for Dennis Bourdette is 1104831619. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Dennis Bourdette located?
Dennis Bourdette practices at 3181 SW Sam Jackson Park Rd Department Of Neurology, L226, Portland, OR 97239. The listed phone number is (503) 494-7772.
What is Dennis Bourdette's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
When was this NPI record last updated?
The NPPES record for Dennis Bourdette was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dennis Neil Bourdette, MD · NPI 1104831619
Neurology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1104831619 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD12086 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, DEPARTMENT OF NEUROLOGY, L226, Portland, OR 97239-3011
- **Phone:** (503) 494-7772
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 267773 (OR); Medicare UPIN C91573
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Source: [NPI Profile](https://npiprofile.com/npi/1104831619) · Data from the CMS NPPES public registry.