Most Relevant Information
Provider Data
| NPI Number: | 1003064304 |
| Provider Name: | SUSAN RANAE BATTLE FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 18370 |
Most Important Dates
| Enumeration Date: | 08/29/2008 |
| Last Updated: | 03/28/2016 |
Provider Practice Location
5 CENTERPOINTE DR
LAKE OSWEGO
OR
970358651
Practice Location Phone/Fax
| Phone: | 5412146301 |
| Fax: | 8555101784 |
Provider Mailing Location
5 CENTERPOINTE DR
LAKE OSWEGO
OR
970358651
Provider Mailing Phone/Fax
| Phone: | 5412146301 |
| Fax: | 8555101784 |