National Provider Identifier Database

KATHERINE C BALLARD
Pediatrics


Contact Information

KATHERINE C BALLARD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239
Phone: 503-494-7764
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X
Registered Nurse 163W00000X

* Indicates primary specialty

NPI Profile & details for KATHERINE C BALLARD

NPI Number 1578233169
Credentials
Entity Individual
Enumeration date 09/15/2021
Last updated 06/28/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • OR License #: 10004790
  • OR License #: 201909224RN
Hospital affiliation n/a

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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