Individual
MATTHEW SCOTT BALLANTYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
Mailing address
2030 GREEN MEADOWS WAY, ASHLAND, OR 97520-3673
(541) 930-2317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201609211RN
OR
Other
Enumeration date
04/12/2021
Last updated
09/12/2022
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