Kenneth Stephen Bourque CDPT

  • NPI 1326602822
According to our database, the NPI number for Kenneth Stephen Bourque CDPT is 1326602822 and activated since 5 years ago. Kenneth Stephen Bourque CDPT is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 5915 Orchard St W, Tacoma, WA 98467. You can also contact Kenneth Stephen Bourque CDPT via telephone number is (253) 414-7461. Provider NPI information was last updated on 04/30/2019.

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Overview of Kenneth Stephen Bourque CDPT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/30/2019
  • Last updated: 04/30/2019

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 60833994
  • License State: WA

Provider Mailing Address

  • Address: 4329 Concordia Ln Se
    Lacey, WA 98503
  • Phone: 360-350-2082
  • Fax:

Provider Practice Location

  • Address: 5915 Orchard St W
    Tacoma, WA 98467
  • Phone: 253-414-7461
  • Fax: 253-627-8387

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 60833994
  • License State: WA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 60833994
  • Identifier Type: Other
  • Identifier State: WA
  • Issuer: WASHINGTON STATE DEPARTMENT OF HEALTH

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth Stephen Bourque CDPT?
  • A: The npi number for Kenneth Stephen Bourque CDPT is 1326602822.
  • Q: What are Kenneth Stephen Bourque CDPT's specialties?
  • A: Kenneth Stephen Bourque CDPT's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Kenneth Stephen Bourque CDPT?
  • A: The medical license number for Kenneth Stephen Bourque CDPT is 60833994 and issued in WA in USA.
  • Q: Where is Kenneth Stephen Bourque CDPT practice location?
  • A: Kenneth Stephen Bourque CDPT is practicing at 5915 Orchard St W, Tacoma, WA 98467.
  • Q: How to contact Kenneth Stephen Bourque CDPT?
  • A: You can contact Kenneth Stephen Bourque CDPT via 253-414-7461.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
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