Individual
DANIELLE BALSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
420 NE MASON ST, PORTLAND, OR 97211-3479
(503) 546-9292
Mailing address
1122 NW BIRDSDALE AVE, GRESHAM, OR 97030-4948
(503) 679-4742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201241405RN
OR
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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