Marguerite Mautner Ballard, PA-C

NPI #1215011820 in Woodburn, Oregon

Provider Information

NPI Number
1215011820
Entity Type
Individual
Name
Marguerite Mautner Ballard, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 24, 2006
Last Updated
Sep 11, 2015

Practice Location

Address
2050 PROGRESS WAY
State
Oregon
ZIP Code
97071-9764
Phone
(503) 981-5348

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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