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ERICA T BALLARD NPI 1932542503


NPI Information

NPI: 1932542503
Provider Name: ERICA T BALLARD
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: LEGACY CLINICS LLC

PECOS Registration: Yes

Address:
501 N GRAHAM ST
STE 200
PORTLAND, OR
ZIP 97227
Phone: (503) 413-4710
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Erica T Ballard is a medical physician assistant in Portland, OR with 10 years of experience. Erica T Ballard NPI is 1932542503. 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:

501 N GRAHAM ST
STE 200
PORTLAND, OR
ZIP 97227-654
Phone: (503) 413-4710
Fax: (503) 413-4711

The NPI 1932542503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2013 and was last updated on 11/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA169996OREGONYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.