Individual
DR. COURTNEY M. SUBUDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM, FNP, PMHNP
Contact information
Practice address
7515 FALCON CREST DR, REDMOND, OR 97756-5014
(541) 904-5216
Mailing address
7515 FALCON CREST DR, REDMOND, OR 97756-5014
(541) 316-9447
(541) 527-4347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024173593
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202206897NP-PP
OR
367A00000X
Advanced Practice Midwife
0024173593
VA
Other
Enumeration date
06/18/2014
Last updated
11/19/2024
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