Individual
DR. CARL CSABA BALOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1410 SW JEFFERSON ST, PORTLAND, OR 97201-2548
(503) 887-2209
(888) 894-1774
Mailing address
1410 SW JEFFERSON ST, PORTLAND, OR 97201-2548
(503) 887-2209
(888) 894-1774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD19519
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD19519
OR
208VP0014X
Interventional Pain Medicine Physician
Primary
MD19519
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074062
—
OR
Enumeration date
06/26/2006
Last updated
03/27/2025
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