EMILY BALLOU

PORTLAND, OR
NPI1457995292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201130221LPN)
Enumeration Date2019-11-05
Last Update Date2019-11-05
Business Address
EMILY BALLOU LPN
13007 NE GLISAN ST
PORTLAND, OR 97230-2545
Phone number: 503-914-7783
Mailing Address
EMILY BALLOU LPN
13007 NE GLISAN ST
PORTLAND, OR 97230-2545
Phone number: