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RILEY BOURDON
NPI 1790327708
Technician, Other in Detroit Lakes, MN

Active since October 10, 2019
1104 W RIVER RD, DETROIT LAKES, MN 56501(218) 287-4338 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riley Bourdon NPPES

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

RILEY BOURDON (NPI 1790327708) is an individual technician, other provider in Detroit Lakes, Minnesota and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1790327708
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameRILEY BOURDON
Location Address1104 W RIVER RDDetroit Lakes, MN 56501-2723
Mailing Address891 Belsly BlvdMoorhead, MN 56560-5055
Phone(218) 287-4338
Sole ProprietorNo
Enumeration DateOctober 10, 2019
✔ NPI 1790327708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
1104 W RIVER RD, Detroit Lakes, MN 56501
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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.

DR. TESSIE BLAKE PSY.D., L.P.
Psychologist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 844-6853
CONNIE SKERSICK
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 844-6853
KAYLA GORDON
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 287-4338
ANNA WIENTJES
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 844-6853
KYLE MILLS
Behavior Technician
1104 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 844-6853
CRISTINA AAKRE
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 844-6853
MARY LINDSTROM AMUNDSON
Social Worker (Clinical)
1104 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 844-6853
ALEXIS FRITZ
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 844-6853

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 Riley Bourdon's NPI number?

The NPI number for Riley Bourdon is 1790327708. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Riley Bourdon located?

Riley Bourdon practices at 1104 W River Rd, Detroit Lakes, MN 56501. The listed phone number is (218) 287-4338.

What is Riley Bourdon's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Riley Bourdon was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.