Individual
MRS. SUZANNE PAMELA BALLEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1551
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
363LA2100X
Acute Care Nurse Practitioner
—
OR
Other
Enumeration date
04/04/2007
Last updated
09/11/2025
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