| Doctor Name: | SUSAN RANAE BATTLE |
| NPI Number: | 1003064304 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 18370 |
| Business Practice Address: | 5 Centerpointe Dr Lake Oswego, OR - 970358651 |
| Business Phone Number: | 5412146301 |
| Business Fax Number: | 8555101784 |
| Mailing Address: | 5 Centerpointe Dr, LAKE OSWEGO |
| State: | OR |
| Postal Code: | 970358651 |
| Phone Number: | 5412146301 |
| Fax Number: | 8555101784 |
| NPI Enumeration Date: | 08/29/2008 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18370 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |