Individual
OSINAKACHUKWU MBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
OHSU, 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239
(503) 494-8211
Mailing address
OHSU, 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
111633
GA
207VX0000X
Obstetrics Physician
Primary
111633
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
08/06/2026
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