DR. LEE MASON BOURDEAU


Address: 7440 Pacific Ave, Tacoma, WA 98408-7117
Phone: 2534750511

DR. LEE MASON BOURDEAU (NPI# 1467483628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467483628
Entity Type Individual
Full Name DR. LEE MASON BOURDEAU
Credential MD
Practice Address 7440 Pacific Ave
Tacoma
WA 98408-7117
Practice Telephone 2534750511
Practice Fax Number 2534757440
Mailing Telephone 2534750511
Mailing Fax Number 2534757440
Enumeration Date 2006-07-06
Last Update Date 2014-04-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD00013784 WA Allopathic & Osteopathic Physicians
N 208D00000X General Practice MD00013784 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8168650 05

Office Location

Street Address 7440 PACIFIC AVE
City TACOMA
State WA
Zip Code 98408-7117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669759718 David Z Levine General Practice 7440 Pacific Ave, Tacoma, WA 98408-7117 2011-11-03
1518084870 Eugene R Sine Family Medicine 7440 Pacific Ave, Tacoma, WA 98408-7117 2007-03-23
1235147653 Marilyn Achille Gibbs Emergency Medicine 7440 Pacific Ave, Tacoma, WA 98408-7117 2006-08-03
1083636575 Pacific General Medical & Emergecy Clinic Inc Family Medicine 7440 Pacific Ave, Tacoma, WA 98408-7117 2006-07-24
1578596847 James Louis Roscetti Family Medicine 7440 Pacific Ave, Tacoma, WA 98408-7117 2006-07-09
1447281613 Louis Cornelius Enkema Jr. General Practice 7440 Pacific Ave, Spanaway General Medical Clinic, Tacoma, WA 98408-7117 2006-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053839597 Michael David Clifton Chiropractor 1702 South 72nd Street, Tacoma, WA 98408 2017-09-05
1417405630 Ashley Mae Grosso Licensed Practical Nurse 7011 S I St, Tacoma, WA 98408 2016-09-16
1568845188 Carolyn M Jacoby Social Worker 4850 S Thompson Ave, Tacoma, WA 98408 2015-06-30
1265844385 Kaitlyn Leigh Laube Ward Podiatrist 7808 Pacific Ave Ste 1, Tacoma, WA 98408 2014-05-22
1720315872 Holly A Roach Specialist 414 So. 54th St., Tacoma, WA 98408 2009-11-11
1831328731 Frederick Joseph Norrick Jr. Massage Therapist 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 2009-07-13
1528198264 Susan Joline Henricksen Massage Therapist 6618 So L St, Tacoma, WA 98408 2007-03-06
1043364565 Dawn Michelle Catlow Massage Therapist 6201 Pacific Avenue, Tacoma, WA 98408 2007-01-22
1538223227 Joshua Bleustar Counselor 860 South 54th St, Tacoma, WA 98408 2006-12-20
1235291055 Leonardo F Romero Chiropractor 7047 S D St., Ste. B, Tacoma, WA 98408 2006-12-15
Find all providers in zip 98408

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023534286 Willa Alise Marinov Family Medicine 9040 Jackson Avenue Department of Family Medicine, Tacoma, WA 98431-0001 2017-08-19
1487186789 Winnie Kirkpatrick Tsai Family Medicine 320 N Tacoma Ave Apt 502, Tacoma, WA 98403-2764 2017-03-28
1861842775 Jessica Coulter Family Medicine Madigan Army Hospital 9040 Jackson Ave, Tacoma, WA 98431-0001 2016-06-21
1770945065 Karen Schowalter Family Medicine 5741 N 26th St Unit 115, Tacoma, WA 98407 2016-03-24
1497139943 Whitney Elizabeth Hine Family Medicine 1812 S Mildred St Ste H, Tacoma, WA 98465-1634 2015-07-15
1871998138 Stephen B Hillis M.d., P.s.,inc. Family Medicine 1901 S Cedar St Ste 108, Tacoma, WA 98405-2302 2014-10-29
1487919965 Angela Marie Dunn Family Medicine 9040 Jackson Ave Fmc, Tacoma, WA 98431-5600 2012-07-10
1760745988 Mai Vi Ha Hoang Family Medicine 1717 Yakima Ave # Ms 01-36, Tacoma, WA 98405-4474 2012-06-21
1477831295 Walton Preston Woodall Jr. Family Medicine 1102 N. Tacoma Ave, Tacoma, WA 98403-2931 2011-07-27
1063718492 James M. Foss M. D. Family Medicine 13410 Pacific Ave S, Tacoma, WA 98444-4866 2011-02-02
Find all providers in TACOMA

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City TACOMA
Zip Code 98408

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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