Individual
KEITH DOUGLAS BALDERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3355 RIVERBEND DR, STE 210, SPRINGFIELD, OR 97477-8800
(541) 485-2777
(541) 246-2353
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(541) 485-2777
(541) 246-2353
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
M-13818
ID
207VM0101X
Maternal & Fetal Medicine Physician
MD18230
OR
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD60748459
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067731
—
OR
Enumeration date
07/07/2006
Last updated
05/18/2023
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