Individual
DR. JENNIFER LANAY BALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 504, PORTLAND, OR 97210-3033
(503) 227-6568
(503) 227-3919
Mailing address
2222 NW LOVEJOY ST, SUITE 504, PORTLAND, OR 97210-3033
(503) 227-6568
(503) 227-3919
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD24311
OR
Other
Enumeration date
01/19/2006
Last updated
01/10/2018
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