ERICA T BALLARD

PORTLAND, OR
NPI1932542503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA169996)
Enumeration Date2013-04-12
Last Update Date2016-11-29
Business Address
-- ERICA T BALLARD
501 N GRAHAM ST STE 200
PORTLAND, OR 97227-1654
Phone number: 503-413-4710
Mailing Address
-- ERICA T BALLARD
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: 503-413-4710
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