Laurence Fenn Bourland Jr. , D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1194 Issued in OR

Legal business name

LAURENCE FENN BOURLAND JR. , D.C., P.C.

Doing business as

Bourland Chiropractic Clinic

Practice address

1623 SE Enterprise Cir
Hillsboro, OR 97123-5064

Phone

(503) 640-2614

Fax

(503) 648-2637

NPI assigned

Jan 7, 2011

Organization subpart

No

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

Authorized official

Name

Laurence Fenn Bourland Jr., D.C.

Title

President

Phone

(503) 640-2614

Specialties & licenses 1

Addresses

Other names 1

• Bourland Chiropractic Clinic Doing business as

Locations

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1699079475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 SE ENTERPRISE CIR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235064",
            "telephone_number": "503-640-2614",
            "fax_number": "503-648-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 SE ENTERPRISE CIR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235064",
            "telephone_number": "503-640-2614",
            "fax_number": "503-648-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE FENN BOURLAND JR. , D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "FENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-640-2614",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourland Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Jane Laske, OD
• Joseph Lassiter, RPH, MS
• Francesca Ruth Latzer, LMSW
• Nanette Marie Laufik, PA-C
• Ginger Laughlin
• Alena Englund Lauritsen
• Quinton Lautz
• Abigail Elizabeth Laverdure, OT
• Daniel Lavery, M.D.
• Matthew Lavier, MSW

• Chiropractor in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.