Individual
NIKHIL BATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST STE BG05, PORTLAND, OR 97213
(503) 215-2392
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD154230
OR
207Q00000X
Family Medicine Physician
TRL10887
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500635434
—
OR
Enumeration date
07/25/2008
Last updated
10/14/2020
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