Basic Information
| Provider Information | |||||||||
| NPI: | 1316024623 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STRAND | ||||||||
| FirstName: | COURTNEY | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | RNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5234 SW PHILOMATH BLVD | ||||||||
| Address2: | |||||||||
| City: | CORVALLIS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417684970 | ||||||||
| FaxNumber: | 5417684971 | ||||||||
| Practice Location | |||||||||
| Address1: | 5234 SW PHILOMATH BLVD | ||||||||
| Address2: | |||||||||
| City: | CORVALLIS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417684970 | ||||||||
| FaxNumber: | 5417684971 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 03/05/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 262067 | MA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | 201050153NP | OR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.