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NPI Code Detail

MEDICARE: COURTNEY RENAE SUMMERSKILL A.R.N.P.

MEDICARE: COURTNEY RENAE SUMMERSKILL A.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner201604868OR
2363LF0000XFamily Nurse Practitioner60605387WA

General Provider Information

NPI Number : 1528439916
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY RENAE SUMMERSKILL A.R.N.P.
Provider Business Mailing Address
First Line : 4550 KRUSE WAY STE 125
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3533
Country : US
Telephone Number : 503-509-6750
Fax Number : 855-893-2446
Provider Business Practice Location Address
First Line : 4550 KRUSE WAY STE 125
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3533
Country : US
Telephone Number : 503-509-6750
Fax Number : 855-893-2446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2015
Last Update Date : 11/26/2024

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Directions to “ COURTNEY RENAE SUMMERSKILL A.R.N.P.” Practice Location

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