DR. Jacqueline Bourdette, D.M.D.

NPI #1538166517 in Portland, Oregon

Provider Information

NPI Number
1538166517
Entity Type
Individual
Name
DR. Jacqueline Bourdette, D.M.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.M.D.
Enumeration Date
Jul 5, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
2350 SW MULTNOMAH BLVD
Address 2
SUITE J
State
Oregon
ZIP Code
97219-3999
Phone
(503) 244-9073

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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