Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD172111 | OR |
N | 207VG0400X | Gynecologist | MD60636131 | WA |
NPI | 1295927424 |
---|---|
Provider Name | Dr. Rebecca Posthuma Batalden |
First Address | Portland, OR 97232-2684 |
Second Address | Portland, OR 97213-2983 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2007 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500685340 | (05) | OR |