KATHERINE C BALLARD
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1578233169- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD # DCH9N, PORTLAND, OR, 972393011
- Phone
- (713) 412-8285
Specialties & Taxonomies
Registered Nurse
License: OR #201909224RN
Nurse Practitioner, Pediatrics
Primary License: OR #10004790