What is Matthew Bourg's NPI number?

Matthew Bourg's National Provider Identifier (NPI) is 1902994312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Matthew Bourg's specialty?

Matthew Bourg is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Matthew Bourg located?

Matthew Bourg's practice location on file with NPPES is 17236 Se Stark St, Portland, OR 97233-4546.

What is Matthew Bourg's phone number?

The practice phone number listed in the NPPES registry for Matthew Bourg is (503) 254-1260.

Is Matthew Bourg's NPI active?

Yes — Matthew Bourg's NPI (1902994312) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Matthew Bourg, DMD

NPI 1902994312 · Dentist · Portland, OR

Matthew Bourg, DMD is a Dentist provider in Portland, OR (NPI 1902994312).

Provider details

NPI number: 1902994312
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: D6261 (OR)

Specialties & taxonomies

DentistPrimary122300000XLicense D6261 (OR)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

17236 Se Stark St

Portland, OR 97233-4546

Phone: (503) 254-1260

Fax: (503) 254-1494

Street-level locationGet directions

More OR providers

Mailing address