MISS Ileana Bourland, MSOM LICAC

NPI #1861596074 in Bend, Oregon

Provider Information

NPI Number: 1861596074
Entity Type: Individual
Name: MISS Ileana Bourland, MSOM LICAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: MSOM LICAC
Enumeration Date: Sep 8, 2006
Last Updated: Mar 2, 2011

Practice Location

Address: 334 NE IRVING AVE
Address 2: STE 102
City: Bend
State: Oregon
ZIP Code: 97701-4710
Phone: (512) 736-6122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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