Search › Oregon › 171100000X
Ileana Bourland, MSOM LICAC
NPI 1861596074 · on the registry since 2006 · sole proprietor
Practice
- Address
- 334 Ne Irving Ave
Ste 102
Bend, OR 97701 - Phone
- (512) 736-6122
- Fax
- (541) 617-0377
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- OR, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-02
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