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Individual

DR. MICHELE LEE BALLERING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2732 NE BROADWAY ST, PORTLAND, OR 97232-1723
(503) 232-1544
Mailing address
2732 NE BROADWAY ST, PORTLAND, OR 97232-1723
(503) 232-1544

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
476
OR

Other

Enumeration date
01/26/2007
Last updated
01/07/2015
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