Organization Active NPI

Bours Health Center

  • Family Medicine Physician
  • Forest Grove, OR
National Provider Identifier
1366570798
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD08196 Issued in OR
Legal business name
BOURS HEALTH CENTER
Practice address
3303 19TH Ave
Forest Grove, OR 97116-1909
Phone
(503) 357-6119
Fax
(503) 359-5750
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Alsop Bours IV, M.D.NPI 1750433058
Title
President
Phone
(503) 357-6119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD08196 OR Primary

Addresses

Primary practice location

3303 19TH Ave
Forest Grove, OR 97116-1909

Mailing address

3303 19TH Ave
Forest Grove, OR 97116-1909
Phone (503) 357-6119

Other identifiers 2

IdentifierTypeStateIssuer
263301MedicaidOR
MD08196OtherORMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

3303 19th Ave
Forest Grove, OR 97116
Phone (503) 357-6119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1366570798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 19TH AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161909",
            "telephone_number": "503-357-6119",
            "fax_number": "503-359-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 19TH AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161909",
            "telephone_number": "503-357-6119",
            "fax_number": "503-359-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOURS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALSOP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-357-6119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD08196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263301",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD08196",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.