Individual
HOLLY BALSBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
51377 SW OLD PORTLAND RD STE C, SCAPPOOSE, OR 97056-4023
(503) 543-3181
Mailing address
875 NE SIMPSON ST, PORTLAND, OR 97211-3748
(503) 234-3172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650084NP
OR
Other
Enumeration date
09/14/2006
Last updated
01/14/2010
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