January Bourassa, N.D

NPI 1366976201 · on the registry since 2017

Practice

Address: 243511 W Highway 101
Port Angeles, WA 98363
Phone: (360) 452-6252
Organisation at this address: Lower Elwha Health Clinic
Lower Elwha Klallam Tribe
Lower Elwha Maternal Support Services
Lower Elwha Klallam Tribe Dental Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 175F00000X
175F00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-04-18

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 Washington