Individual
COURTNEY J VAN VALKENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2195 NW SHEVLIN PARK RD STE 100, BEND, OR 97703-7102
(541) 389-7741
(541) 278-8375
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
202000861NP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
95005129
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
95005129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500805330
—
OR
01
—
DQ488A
GROUP MEDICARE PTAN
CA
01
—
ZZZ27958Z
GROUP MEDICARE PTAN
CA
Enumeration date
08/10/2016
Last updated
10/01/2025
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