Individual
HALEY JEANNE BATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(503) 680-8794
Mailing address
3103 SE 6TH AVE, PORTLAND, OR 97202-2604
(503) 680-8794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10030022
OR
163W00000X
Registered Nurse
61592455
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
08/12/2019
Last updated
09/12/2024
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