Provider Demographics
NPI:1023316841
Name:DAWDY WHITE, BATINAH AR (MS)
Entity type:Individual
Prefix:
First Name:BATINAH
Middle Name:AR
Last Name:DAWDY WHITE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:BATINAH
Other - Middle Name:AR
Other - Last Name:DAWDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:2051 KAEN RD
Mailing Address - Street 2:367
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-4035
Mailing Address - Country:US
Mailing Address - Phone:503-650-3110
Mailing Address - Fax:503-742-5979
Practice Address - Street 1:37400 BELL STREET
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045
Practice Address - Country:US
Practice Address - Phone:503-668-3483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health