Mrs Michele Nordgren Bourque, LMFT is a
Marriage & Family Therapist based in Lacey, Washington. Mrs Michele Nordgren Bourque is licensed to practice in Washington (license number MG60472487) and her current practice location is
4329 Concordia Lane Se, Lacey, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 819-9318.
NPI number for Mrs Michele Nordgren Bourque is 1457838989 and her current mailing address is 170 S Lincoln, Ste 100, Spokane, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457838989.
Healthcare Provider's Profile
Full Name | Mrs Michele Nordgren Bourque |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 4329 Concordia Lane Se, Lacey, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457838989
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 03/20/2020
Medical Identifiers
Medical identifiers for Mrs Michele Nordgren Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457838989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TF0000X | Psychologist - Family | MG60472487 (Washington) | Secondary |
106H00000X | Marriage & Family Therapist | MG60472487 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Michele Nordgren Bourque is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Michele Nordgren Bourque, LMFT 170 S Lincoln, Ste 100, Spokane, WA 99201 Ph: (360) 819-9318 | Mrs Michele Nordgren Bourque, LMFT 4329 Concordia Lane Se, Lacey, WA 98503 Ph: (360) 819-9318 |
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