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Contact Information

KATHERINE C BALLARD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239
 Phone: 503-494-7764
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KATHERINE C BALLARD · (Female)

NPI Number 1578233169
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2021
Last updated 06/28/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 10004790
  • OR License # 201909224RN
Hospital affiliation(s) Not Available
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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