Provider Demographics
NPI:1891753141
Name:BATSON, MICHELLE REGAN (AUD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:REGAN
Last Name:BATSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17700 SE 272ND ST
Mailing Address - Street 2:STE 200
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042
Mailing Address - Country:US
Mailing Address - Phone:253-372-7115
Mailing Address - Fax:253-372-7047
Practice Address - Street 1:17700 SE 272ND ST
Practice Address - Street 2:STE 200
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042
Practice Address - Country:US
Practice Address - Phone:253-372-7115
Practice Address - Fax:253-372-7047
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00003296237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
G25778Medicare UPIN
WAQ25778Medicare UPIN
8807939Medicare PIN
WA8807939Medicare PIN