Search › Oregon › 363LA2200X
Molly Bourgault, NP
NPI 1326263500 · on the registry since 2007 · sole proprietor
Practice
- Address
- 19537 Sager Loop
Bend, OR 97702 - Phone
- (858) 401-3314
Additional practice sites
- 1075 Camino Del Rio S, San Diego, CA
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon