Baltazar, Kelly Mary
Baltazar, Kelly Mary is an sole proprietor health care provider with primary practice located at 3025 Sw Corbett Ave , Portland OR 97201-4858. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Baltazar, Kelly Mary can be contacted via phone (503) 552-1551.Contact Information
Primary practice address
3025 Sw Corbett Ave
Portland OR 97201-4858
Phone: (503) 552-1551
Fax: (503) 226-8133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5843 | Oregon |
| Other Service Providers / Naturopath | 175F00000X | 4063 | Oregon |
Profile Details
| NPI number | 1669670550 |
|---|---|
| LBN Legal business name | Baltazar, Kelly Mary |
| Credentials | N.D., D.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Jul 21st, 2022 - about 2 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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