Individual
ELIZABETH S BALLERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 245-0127
Mailing address
720 FRANCES LN, ASHLAND, OR 97520-3412
(541) 261-4121
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
Enumeration date
03/27/2006
Last updated
07/08/2007
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