Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Suraja Shrestha Bastola, DNP

Individual provider Registered Nurse · NPI 1407566771

Suraja Shrestha Bastola, DNP is a Nurse Practitioner in Medford, Oregon. Qualified in 2022, 4 years ago. Practices with Marquis Clinical Services LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2022
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

2845 Morning View Dr
Medford, OR 97504-5944
Phone: (248) 571-2787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10006717 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201907141RN (OR)

Record details

NPI number1407566771
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorYes
NPI enumeratedNovember 28, 2022
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Marquis Clinical Services Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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