DR. JACQUELINE BOURDETTE (D.M.D.) – Pediatric Dentistry, NPI 1538166517

DR. JACQUELINE BOURDETTE (D.M.D.) is a healthcare provider. based in Portland, Oregon. specializing in Pediatric Dentistry. They hold the professional credentials D.M.D.. They hold a License No. D6350 (OR). The NPI Number for DR. JACQUELINE BOURDETTE (D.M.D.) is 1538166517

Main info

Female
Name
DR. JACQUELINE BOURDETTE (D.M.D.)
NPI
1538166517
Phone
(503) 244-9073
Address
2350 SW MULTNOMAH BLVD
Enumeration Date
5 July 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JACQUELINE BOURDETTE (D.M.D.)

  • Mojgan Rostamian, 2350, Southwest Multnomah Boulevard, Capitol Hill, Multnomah, Portland, Metro, Multnomah County, Oregon, 97219, United States

    SUITE J

    PORTLAND, OR 972193999

    Phone: (503) 244-9073

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97219)

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Reviews

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Frequently asked questions

How is DR. JACQUELINE BOURDETTE (D.M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JACQUELINE BOURDETTE (D.M.D.) with NPI 1538166517.
Does the file indicate DR. JACQUELINE BOURDETTE (D.M.D.) is practicing under active NPI?
Directory data currently reports DR. JACQUELINE BOURDETTE (D.M.D.) as active.
What is DR. JACQUELINE BOURDETTE (D.M.D.)'s primary classification?
Pediatric Dentistry is the headline specialty for DR. JACQUELINE BOURDETTE (D.M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. JACQUELINE BOURDETTE (D.M.D.) based?
DR. JACQUELINE BOURDETTE (D.M.D.) is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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