Individual
JULIA ESTHER BALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN,BSN
Contact information
Practice address
531 SE CLAY ST, DALLAS, OR 97338-2865
(971) 612-6100
(971) 612-6101
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201391421NP-PP
OR
Other
Enumeration date
10/23/2013
Last updated
09/10/2021
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