Balinky, Jacob

Balinky, Jacob is an sole proprietor health care provider with primary practice located at 3716 Ne Mlk Blvd , Portland OR 97212-1111. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Balinky, Jacob can be contacted via phone (503) 288-8066.

Contact Information

Primary practice address
3716 Ne Mlk Blvd Portland OR 97212-1111
Phone: (503) 288-8066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 200542475RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200750104NP Oregon

Profile Details

NPI number 1184818080
LBN Legal business name Balinky, Jacob
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2007
Last updated Nov 1st, 2012 - about 12 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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