Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD170560 | OR |
NPI | 1003852690 |
---|---|
Provider Name | Dr. Courtney Paige Ridley |
First Address | Gold Beach, OR 97444-7756 |
Second Address | Gold Beach, OR 97444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 26/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1487696985 | CURRY HEALTH DISTRICT NPI (01) | OR |
500683528 | (05) | OR |
930937095 | CURRY HEALTH DISTRICT TAX I.D. (01) | OR |