Balbontin, Dereck

Balbontin, Dereck is an sole proprietor health care provider with primary practice located at 4160 Ne Sandy Blvd , Portland OR 97212-5336. He recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as his primary health care specialty. Balbontin, Dereck can be contacted via phone (503) 249-9000.

Contact Information

Primary practice address
4160 Ne Sandy Blvd Portland OR 97212-5336
Phone: (503) 249-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 20563 Oregon

Profile Details

NPI number 1811353063
LBN Legal business name Balbontin, Dereck
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2016
Last updated Jan 15th, 2016 - about 8 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.

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