MEDICARE: COURTNEY ROSE WINN RN

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
1	163WS0200X	School Registered Nurse	201240739RN	OR

General Provider Information

NPI Number	:	1871434050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY ROSE WINN RN

Provider Business Mailing Address
First Line	:	1578 NE 87TH AVE
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97006-6474
Country	:	US
Telephone Number	:	503-431-4110
Fax Number	:	503-213-1706

Provider Business Practice Location Address
First Line	:	5505 SW BORLAND RD
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-9740
Country	:	US
Telephone Number	:	503-431-4110
Fax Number	:	503-213-1706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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