Individual
KIRTHIKA BALAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
15440 SW SAPPHIRE DR, BEAVERTON, OR 97007-9308
(503) 524-8489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26069
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273867
—
OR
Enumeration date
03/28/2006
Last updated
02/15/2022
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