Individual
DR. PAUL TIMOTHY BALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 LANCASTER DR NE, SALEM, OR 97301
(503) 585-6388
(503) 566-0212
Mailing address
435 LANCASTER DR NE, SALEM, OR 97301
(503) 585-6388
(503) 566-0212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13600
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043778
—
OR
Enumeration date
08/15/2006
Last updated
03/07/2023
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