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DR. LEE MASON BOURDEAU MD
NPI 1467483628
Family Medicine in Tacoma, WA

Active since July 06, 2006
7440 PACIFIC AVE, TACOMA, WA 98408(253) 475-0511(253) 475-7440 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lee Mason Bourdeau Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEE MASON BOURDEAU MD (NPI 1467483628) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (MD00013784) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1467483628
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LEE MASON BOURDEAUCredential: MD
Location Address7440 PACIFIC AVETacoma, WA 98408-7117
Mailing Address7440 Pacific AveTacoma, WA 98408-7117 · (253) 475-0511 · Fax (253) 475-7440
Phone(253) 475-0511
Fax(253) 475-7440
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 4, 2014
✔ NPI 1467483628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00013784
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD00013784 (WA)
7440 PACIFIC AVE, Tacoma, WA 98408
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Other Identifiers 3

Medicare ID-Type Unspecified001059225
Medicare UPINA06713
Medicaid8168650WA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC GENERAL MEDICAL & EMERGECY CLINIC INC
Family Medicine
7440 PACIFIC AVE
TACOMA, WA 98408
Pierce County (253) 475-0511
MARILYN ACHILLE GIBBS MD
Internal Medicine
7440 PACIFIC AVE
TACOMA, WA 98408
Pierce County (253) 475-0511
DR. LOUIS CORNELIUS ENKEMA JR. MD
General Practice
7440 PACIFIC AVE, SPANAWAY GENERAL MEDICAL CLINIC
TACOMA, WA 98408
Pierce County (253) 475-0511
JAMES LOUIS ROSCETTI MD
Family Medicine
7440 PACIFIC AVE
TACOMA, WA 98408
Pierce County (253) 475-0511
DR. DAVID Z LEVINE DO
General Practice
7440 PACIFIC AVE
TACOMA, WA 98408
Pierce County (253) 475-0511

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 Lee Bourdeau's NPI number?

The NPI number for Lee Bourdeau is 1467483628. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Lee Bourdeau located?

Lee Bourdeau practices at 7440 Pacific Ave, Tacoma, WA 98408. The listed phone number is (253) 475-0511.

What is Lee Bourdeau's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lee Bourdeau was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.