SUZANNE PAMELA BALLEISEN

PORTLAND, OR
NPI1598887036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  094006483RN)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: OR  200250145NP)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Mrs. SUZANNE PAMELA BALLEISEN NP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-1551
Mailing Address
Mrs. SUZANNE PAMELA BALLEISEN NP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-1551