Individual
ANTHONY B BALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 HITCHING POST RD, GRANTS PASS, OR 97526-9710
(541) 237-5067
(541) 479-2370
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
2470A2800X
Assistant Health Information Record Technician
—
—
Other
Enumeration date
06/07/2019
Last updated
09/27/2022
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