Individual
DR. BENJAMIN F BALME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 SE MAIN ST, SUITE 128, PORTLAND, OR 97216-2448
(503) 261-6961
(503) 261-6959
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
(503) 261-6961
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD07032
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013888
—
OR
05
—
XPY113680
—
CA
Enumeration date
09/26/2005
Last updated
03/22/2011
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