Ballner, Elizabeth Sarah
Ballner, Elizabeth Sarah is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Ballner, Elizabeth Sarah can be contacted via phone (503) 216-2906.Contact Information
Primary practice address
9205 Sw Barnes Rd
Portland OR 97225-6603
Phone: (503) 216-2906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO164338 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C7-004048 | Delaware |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DO164338 | Oregon |
Profile Details
| NPI number | 1114193430 |
|---|---|
| LBN Legal business name | Ballner, Elizabeth Sarah |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2008 |
| Last updated | Oct 5th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114193430 | NPPES |
| Oregon | MEDICAID | 500662274 | |
| Oregon | Other | P01228015 |
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