Individual
COLE BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5050 NE HOYT ST STE 626, PORTLAND, OR 97213-2956
(503) 231-1426
Mailing address
5050 NE HOYT ST STE 626, PORTLAND, OR 97213-2956
(503) 231-1426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA221482
OR
363A00000X
Physician Assistant
—
TX
363AS0400X
Surgical Physician Assistant
PA16887
TX
Other
Enumeration date
05/18/2023
Last updated
09/23/2024
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