Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00040962 | WA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD00040962 | WA |
NPI | 1023089752 |
---|---|
Provider Name | Michael J Battaglia II |
First Address | Portland, OR 97228-5845 |
Second Address | Bellevue, WA 98004-3807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 12/07/2019 |