Mark Alan Bourne

NPI #1457720450 in Florence, Oregon

Provider Information

NPI Number
1457720450
Entity Type
Individual
Name
Mark Alan Bourne
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor - Home Modifications
Enumeration Date
Sep 20, 2015
Last Updated
Sep 20, 2015

Practice Location

Address
625 HIGHWAY 101 # 168
State
Oregon
ZIP Code
97439-7634
Phone
(503) 789-4374

Specialties & Taxonomy Codes

Specialty
Contractor - Home ModificationsHome Modifications

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