Individual
HANNAH GOODWATER-BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8645 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 97015-6841
(503) 404-3907
Mailing address
8645 SE SUNNYBROOK BLVD # 200, CLACKAMAS, OR 97015-6841
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201809122NP-PP
OR
Other
Enumeration date
10/12/2018
Last updated
10/19/2022
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