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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE DICHOSO BALLESTEROS, FOSTER CARE PROVIDER

Active

MICHELLE DICHOSO BALLESTEROS, FOSTER CARE PROVIDER is a 376G00000X healthcare provider located in MCMINNVILLE, Oregon. NPI 1295573723 is currently active in the NPPES registry. Verify at CMS.

376G00000X · MCMINNVILLE, OR

Registration Details

NPI Number
1295573723
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2024 (2.1066210967583 yrs)
Last Updated
Nov 15, 2024
License
623110 (OR)

Practice Information

Address
631 SW TAFT ST
MCMINNVILLE, OR, 971286627
Browse OR providers · Browse ZIP 97128
Phone
9713305503
Primary Specialty
376G00000X
376G00000X
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.