Van Valkenburg, Courtney J

Van Valkenburg, Courtney J is an individual health care provider with primary practice located at 940 Royal Ave Unit 350 , Medford OR 97504-6194. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Van Valkenburg, Courtney J can be contacted via phone (541) 732-7460.

Contact Information

Primary practice address
940 Royal Ave Unit 350 Medford OR 97504-6194
Phone: (541) 732-7460
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 95005129 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 95005129 California
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 202000861NP-PP Oregon

Profile Details

NPI number 1891249637
LBN Legal business name Van Valkenburg, Courtney J
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Jul 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891249637 NPPES
California Other ZZZ27958Z GROUP MEDICARE PTAN
California MEDICAID 500805330 GROUP MEDICARE PTAN
California Other DQ488A GROUP MEDICARE PTAN

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