MICHELE L BALLERING

Dr MICHELE L BALLERING is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1979.

Contact

2732 NE BROADWAY ST
PORTLAND
OR
972321723

Tel: 5032321544

MICHELE L BALLERING Information

Npi 1235285040
Pac Id 6305026501
Professional Enrollment Id I20110204000620
Last Name BALLERING
First Name MICHELE
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1979
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2732 NE BROADWAY ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PORTLAND
State OR
Zip Code 972321723
Phone Number 5032321544
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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