Individual
THOMAS BALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
531 SE CLAY ST, DALLAS, OR 97338-2865
(971) 612-6100
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10033401
OR
Other
Enumeration date
10/03/2024
Last updated
05/06/2025
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