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Individual

ERIC WAYNE BALLINGER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1315 NW 4TH STREET, SUITE B TAI CENTRAL OREGON REDMOND, REDMOND, OR 97756-1328
(541) 923-7494
(541) 504-9153
Mailing address
11481 SW HALL BV, STE 201 THERAPEUTIC ASSOCIATES INC, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3248
OR
225100000X
Physical Therapist

Other

Enumeration date
04/19/2006
Last updated
07/08/2007
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