Healthcare Provider Details

I. General information

NPI: 1366351421
Provider Name (Legal Business Name): COURTNEY S ADAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY SUSANNE INSTENES RN

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 SULWHANON DR
EVERSON WA
98247-8766
US

IV. Provider business mailing address

2510 SULWHANON DR
EVERSON WA
98247-8766
US

V. Phone/Fax

Practice location:
  • Phone: 360-966-2106
  • Fax:
Mailing address:
  • Phone: 360-966-2106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberARNP.AP.70176834-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: