Individual
MS. LINDA C BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Mailing address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
084053337N6
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
084053337N6-PMHNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655727
—
OR
Enumeration date
11/02/2006
Last updated
03/24/2016
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