Individual
DR. MURTAZA BATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., CAQSM
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD STE 100, TIGARD, OR 97224
(503) 297-7678
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD177579
OR
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
MD177579
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500711160
—
OR
Enumeration date
02/13/2008
Last updated
10/20/2020
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