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1932542503
ERICA T BALLARD
PORTLAND, OR
NPI
1932542503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA169996)
Enumeration Date
2013-04-12
Last Update Date
2016-11-29
Business Address
-- ERICA T BALLARD
501 N GRAHAM ST STE 200
PORTLAND, OR 97227-1654
Phone number: 503-413-4710
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Mailing Address
-- ERICA T BALLARD
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: 503-413-4710
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