Dr. January M Bourassa, N.D.
Naturopath in Port Angeles, WA. Individual provider (NPI-1).
NPI number1366976201
StatusActive
Last updated in NPPESApr 18, 2017
Details
- NPI
- 1366976201
- Entity type
- Individual (NPI-1)
- Name
- Dr. January M Bourassa
- Credential
- N.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2017
- Last updated
- Apr 18, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | NT60749835 | WA | Yes |
Other names
- January M Austin (Professional Name)
Practice location
243511 W Highway 101Port Angeles, WA 98363-9472
Phone 360-452-6252
Mailing address
243511 W Highway 101Port Angeles, WA 98363-9472
Phone 360-452-6252
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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