person
Erica T Ballard
Medical Physician Assistant in Portland, Oregon
NPI 1932542503

Erica T Ballard is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Erica T Ballard practices in Portland, OR. The NPI Number for Erica T Ballard is 1932542503 and holds a License No. PA169996 (Oregon).

The current practice location address for Erica T Ballard is 501 N Graham St, Portland, OR and can be reached out via phone at 503-413-4710 and via fax at 503-413-4711.

Location: 501 N Graham St, Portland, OR, 97208-3777
person
Provider Profile Details
NPI Number
1932542503
Provider Name
Erica T Ballard
Credential
Provider Entity Type
Individual
Gender
Female
Address
501 N Graham St, Portland, OR, 97208-3777
Phone Number
503-413-4710
Fax Number
503-413-4711
Provider Enumeration Date
04/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 N Graham St
City
State
Zip
97227-1654
Phone Number
503-413-4710
Fax Number
503-413-4711
person
Provider Business Mailing Address Details
Address
501 N Graham St
City
State
Zip
97227-1654
Phone Number
503-413-4710
Fax Number
503-413-4711
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA169996 (Oregon)
Definition
Definition to come...
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