IndividualActive
Kassandra Balli, PA-C
NPI 1801517198 · Physician Assistant · Medford, OR
Provider details
- NPI number
- 1801517198
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA222599 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3617 S Pacific Hwy
Medford, OR 97501-8957
Phone: (541) 535-6239
Approximate (ZIP-level) locationGet directions
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Additional practice locations (1)
- 638 Market StMedford, OR 97504-6126Phone: (541) 535-6239
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.