IndividualActive
Cathleen Bourque, RDH
NPI 1922739747 · Dental Hygienist · Plummer, ID
Provider details
- NPI number
- 1922739747
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- DH-1462 (ID)
Specialties & taxonomies
Dental Providers
Practice location
427 12th St
Plummer, ID 83851-4000
Phone: (208) 686-1931
Approximate (ZIP-level) locationGet directions
Mailing address
6995 N Cornwall St
Coeur D Alene, ID 83815-7101
Additional practice locations (1)
- 6995 N Cornwall StCoeur D Alene, ID 83815-7101Phone: (208) 699-2841
Registry dates
- Enumerated
- 2022-06-22
- Last updated
- 2022-06-22
- Certified
- 2022-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.