Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine C Ballard

Individual provider Registered Nurse · NPI 1578233169

Katherine C Ballard is a Registered Nurse in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3181 SW Sam Jackson Park Rd # DCH9N
Portland, OR 97239-3011
Phone: (713) 412-8285
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 10004790 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201909224RN (OR)

Record details

NPI number1578233169
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2021
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address3833 S Bond Ave Apt 412, Portland, OR 97239-4740

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