Organization
RHEUMATOLOGY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BALENTINE MD (OWNER)
(360) 649-2012
Entity
Organization
Contact information
Practice address
675 N 5TH AVE STE 3B, SEQUIM, WA 98382-3066
(360) 649-2012
(360) 251-0291
Mailing address
PO BOX 2742, PORT ANGELES, WA 98362-0332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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