IndividualActive
Dennis Bourdette, MD
NPI 1104831619 · Neurology Physician · Portland, OR
Provider details
- NPI number
- 1104831619
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD12086 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Department of Neurology, L226
Portland, OR 97239-3011
Phone: (503) 494-7772
Approximate (ZIP-level) locationGet directions
Mailing address
10627 Sw Hood Ave
Portland, OR 97219-7812
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.