| Doctor Name: | COURTNEY MARIE COMBE |
| NPI Number: | 1053740290 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA-1121 |
| Business Practice Address: | 702 Sunset Dr Ontario, OR - 979143121 |
| Business Phone Number: | 2088413020 |
| Business Fax Number: | |
| Mailing Address: | 1826 E Daulby St, MERIDIAN |
| State: | ID |
| Postal Code: | 836429185 |
| Phone Number: | 2084092923 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2013 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA-1121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |