Dereck Balbontin

NPI 1811353063 · on the registry since 2016 · sole proprietor

Practice

Address: 4160 Ne Sandy Blvd
Portland, OR 97212
Phone: (503) 249-9000
Organisation at this address: Mobilmed
Urgent Care Express Pc
Portland Wellness Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Mechanotherapist
172M00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon