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Individual

MADELEINE RUTH COURVOISIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
400 HICKORY ST NW STE 101, ALBANY, OR 97321-1700
(541) 812-3360
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0007037
MD
363A00000X
Physician Assistant
Primary
PA203178
OR

Other

Enumeration date
09/24/2018
Last updated
04/14/2021
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