Healthcare Provider Details

I. General information

NPI: 1659840288
Provider Name (Legal Business Name): MEREDITH JOHANNA BATTY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEREDITH JOHANNA HOREL

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 NE 87TH AVE
VANCOUVER WA
98664-4896
US

IV. Provider business mailing address

1935 CLEVELAND ST
NORTH BEND OR
97459-1814
US

V. Phone/Fax

Practice location:
  • Phone: 360-882-2772
  • Fax:
Mailing address:
  • Phone: 541-661-5713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number202006872NP-PP
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP61520160
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61520156
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number201808320RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: