KAREN ANN BALLARD F.N.P. NPI 1669801387

NPI Information

NPI: 1669801387
Provider Name: KAREN ANN BALLARD, F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
417 SW 117TH AVE
SUITE 100
PORTLAND, OR
ZIP 97225
Phone: (503) 216-1800
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Karen Ann Ballard, F.N.P. is a family nurse practitioner in Portland, OR. Karen Ann Ballard, F.N.P. NPI is 1669801387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

417 SW 117TH AVE
SUITE 100
PORTLAND, OR
ZIP 97225-924
Phone: (503) 216-1800

The enumeration date for this NPI number is 11/4/2013 and was last updated on 11/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	201391813NP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500664691	MEDICAID	OREGON
2	R173175	MEDICARE PIN	OREGON
3	P01328156	OTHER	OREGON	RR MEDICARE - PROVIDENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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