Ballner, Elizabeth Sarah

Ballner, Elizabeth Sarah is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Ballner, Elizabeth Sarah can be contacted via phone (503) 216-2906.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Phone: (503) 216-2906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO164338 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C7-004048 Delaware
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DO164338 Oregon

Profile Details

NPI number 1114193430
LBN Legal business name Ballner, Elizabeth Sarah
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Oct 5th, 2020 - about 5 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 1114193430 NPPES
Oregon MEDICAID 500662274
Oregon Other P01228015

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