Individual
DR. KENNETH R BALMFORTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
610 SW ALDER ST, SUITE 901, PORTLAND, OR 97205-3625
(503) 227-1491
Mailing address
610 SW ALDER ST, SUITE 901, PORTLAND, OR 97205-3625
(503) 227-1491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4409
OR
Other
Enumeration date
11/27/2005
Last updated
07/08/2007
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