Individual
MARGUERITE MAUTNER BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
(503) 981-1236
Mailing address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
(503) 981-1236
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00267
OR
Other
Enumeration date
10/24/2006
Last updated
09/11/2015
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