Lee M Bourdeau (NPI# 1467483628, PAC ID# 5991787236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1467483628 |
| PAC ID by PECOS | 5991787236 |
| Professional Enrollment ID | I20040602000341 |
| Full Name | Lee M Bourdeau |
| Organization Legal Name | PACIFIC GENERAL MEDICAL CLINIC |
| Address |
7440 Pacific Ave Tacoma WA 98408-7117 |
| Phone Number | 2534750511 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 7911992920 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10209 136th St E, Puyallup, WA 98374-3076 | 2538481535 | SOUTH HILL GENERAL MEDICAL CLINIC |
| 7440 Pacific Ave, Tacoma, WA 98408-7117 | 2534750511 | PACIFIC GENERAL MEDICAL CLINIC |
| Organization Legal Name | PACIFIC GENERAL MEDICAL CLINIC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis C Enkema Jr. | General Practice | Pacific General Medical Clinic | 7440 Pacific Ave, Tacoma, WA 98408-7117 |
| Street Address |
7440 PACIFIC AVE |
| City | TACOMA |
| State | WA |
| Zip | 98408-7117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew M Tsoi | Family Medicine | 7440 Pacific Ave, Tacoma, WA 98408-7117 | |
| Louis C Enkema Jr. | General Practice | Pacific General Medical Clinic | 7440 Pacific Ave, Tacoma, WA 98408-7117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Kaftan | Undefined Non-physician Type (specify) | Multicare Health System | 1901 S 72nd St, A 1, Tacoma, WA 98408-1200 |
| Angela Ko | Occupational Therapy | Multicare Health System | 1901 S 72nd St, A 1, Tacoma, WA 98408-1200 |
| Brent Proctor | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 1901 S 72nd St, Suite A 1, Tacoma, WA 98408-1200 |
| Joel D Vranna | Chiropractic | 1702 S 72nd St, Suite A, Tacoma, WA 98408-1238 | |
| Richard M Raymond | Chiropractic | Accident and Injury Chiropractic Center Inc | 1702 S 72nd A, Tacoma, WA 98408-1238 |
| Robert Chant | Chiropractic | Accident and Injury Chiropractic Center Inc | 1702 S 72nd A, Tacoma, WA 98408-1238 |
| Jeffrey Bernal Kahrs | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Kevin M Lyter | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Dean F Simmons | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Richard D Leone | Chiropractic | 1720 S 72nd St, Suite 201, Tacoma, WA 98408-1299 | |
| Find all physicians in zip 98408 | |||
| City | TACOMA |
| Zip Code | 98408 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | TACOMA + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Lee M Bourdeau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.