Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1820 | OR |
NPI | 1104125962 |
---|---|
Provider Name | Leslie Batten |
First Address | Portland, OR 97215-3420 |
Second Address | Portland, OR 97201-5128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2011 |
Last Update Date | 30/03/2013 |