Healthcare Provider Details

I. General information

NPI: 1962768317
Provider Name (Legal Business Name): NATALIE BADOWSKI WU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS NATALIE BADOWSKI

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 N PROVIDENCE DR
NEWBERG OR
97132-7485
US

IV. Provider business mailing address

5289 NE ELAM YOUNG PKWY STE 130
HILLSBORO OR
97124-7551
US

V. Phone/Fax

Practice location:
  • Phone: 503-537-1555
  • Fax:
Mailing address:
  • Phone: 503-718-7991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA126427
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License NumberMD205592
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: