Individual
DR. MARTIN J BALISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9135 SW BARNES RD, SUITE 961, PORTLAND, OR 97225-6646
(503) 292-0848
(503) 296-0635
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD18909
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276658
—
OR
Enumeration date
08/12/2005
Last updated
06/20/2023
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