Ballard, Linda C

Ballard, Linda C is an individual health care provider with primary practice located at 906 Main Ave , Tillamook OR 97141-3816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ballard, Linda C can be contacted via phone (503) 842-8201.

Contact Information

Primary practice address
906 Main Ave Tillamook OR 97141-3816
Phone: (503) 842-8201
Fax: (503) 815-1870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 084053337N6-PMHNP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 084053337N6 Oregon

Profile Details

NPI number 1902984297
LBN Legal business name Ballard, Linda C
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Mar 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902984297 NPPES
Oregon MEDICAID 500655727

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