Provider Demographics
NPI:1407832660
Name:BATCHELOR, JULIE LOUISE (OT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LOUISE
Last Name:BATCHELOR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:COOS BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97420-0000
Mailing Address - Country:US
Mailing Address - Phone:541-267-5151
Mailing Address - Fax:541-266-4526
Practice Address - Street 1:1900 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:COOS BAY
Practice Address - State:OR
Practice Address - Zip Code:97420-0000
Practice Address - Country:US
Practice Address - Phone:541-267-5151
Practice Address - Fax:541-266-4526
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR983528225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1407812365OtherNBMC-ENTITY NPI
ORP00389910OtherRR PROVIDER NUMBER
OR182976Medicaid
OR983528OtherNATIONAL BOARD CERT#
ORCB3544OtherRAILROAD GROUP PROV #
ORR0000WFBTVOtherMEDICARE GROUP PIN NUMBER
OR983528OtherNATIONAL BOARD CERT#
ORR121319Medicare PIN
ORP00389910OtherRR PROVIDER NUMBER
OR1407812365OtherNBMC-ENTITY NPI