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Contact Information

ERICA T BALLARD
501 N GRAHAM ST
STE 200
PORTLAND, OR97227-1654
 Phone: 503-413-4710
 Fax: 503-413-4711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ERICA T BALLARD · (Female)

NPI # 1932542503
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2013
Last updated 11/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA169996
Hospital affiliation(s)
  • LEGACY EMANUEL MEDICAL CENTER - (Acute Care)
    2801 N GANTENBEIN AVENUE
    PORTLAND, OR 97227
  • LEGACY MERIDIAN PARK MEDICAL CENTER - (Acute Care)
    19300 SW 65TH AVENUE
    TUALATIN, OR 97062
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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