Individual
MS. LUCINDA ANN BALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
17704 JEAN WAY, 105, LAKE OSWEGO, OR 97035-5497
(503) 675-6776
(503) 675-2572
Mailing address
770 NE 31ST PL, CANBY, OR 97013-2104
(503) 651-3322
(503) 651-3325
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
079034619N3 ANP-PP
OR
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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