Individual
COURTNEY MARIE COTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9925 SW NIMBUS AVE STE 100, BEAVERTON, OR 97008-7591
(503) 595-9300
Mailing address
8332 SE 13TH AVE, PORTLAND, OR 97202-7102
(503) 595-9300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10026820
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
10026820
OR
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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