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Individual

MS. DENISE LOUISE BALLENGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
330 S. GARDEN WAY, SUITE 100, EUGENE, OR 97401
(541) 686-8700
(541) 686-9004
Mailing address
330 S. GARDEN WAY,, SUITE 100, EUGENE, OR 97401
(541) 686-8700
(541) 686-9004

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
091003301RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
091003301RN
RNFA
OR
Enumeration date
06/19/2007
Last updated
01/26/2009
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