Dr. Paul G Bouressa, M.D.
Pediatrics in Springfield, OR. Individual provider (NPI-1).
NPI number1366414047
StatusActive
Last updated in NPPESDec 1, 2008
Details
- NPI
- 1366414047
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul G Bouressa
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2006
- Last updated
- Dec 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MD20093 | OR | Yes |
Practice location
3377 Riverbend DrSpringfield, OR 97477-8800
Phone 541-222-6400
Mailing address
Po Box 24410Eugene, OR 97402-0451
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