NPI 1235285040 · live from the CMS NPI Registry
Michele Lee Ballering, Ph.D.
Psychologist in Portland, OR. National Provider Identifier 1235285040, active.
NPI record
| NPI | 1235285040 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2732 Ne Broadway St, Portland, OR 97232 |
| Practice phone | 503-232-1544 |
| Enumerated | January 26, 2007 |
| Last updated | January 7, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 476 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.