Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARGUERITE MAUTNER BALLARD, PA-C
Active Sole ProprietorMARGUERITE MAUTNER BALLARD, PA-C is a Medical Physician Assistant healthcare provider located in WOODBURN, Oregon. NPI 1215011820 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WOODBURN, OR
Registration Details
- NPI Number
- 1215011820
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2006 (19.780187596609 yrs)
- Last Updated
- Sep 11, 2015
- License
-
PA00267 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2050 PROGRESS WAYWOODBURN, OR, 970719764Browse OR providers · Browse ZIP 97071
- Phone
- 5039815348
- Fax
- 5039811236
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WOODBURN, OR
| Name | Credential | NPI |
|---|---|---|
| KEVIN HEIDRICK | P.A.-C | 1891884268 |
| MIRIAM HABAFY | PA-C | 1831273457 |
| TANA KORNACHUK | PA-C | 1922463645 |
| KRISTYN VAN ALLEN | — | 1770461931 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.