Individual
DR. LILIA BALDAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1222 SE DIVISION ST, PORTLAND, OR 97202-1017
(503) 231-9879
Mailing address
1222 SE DIVISION ST, PORTLAND, OR 97202-1017
(503) 231-9879
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6072
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14491
CHIROPRACTIC LICENSE
TX
01
—
6072
CHIROPRACTIC LICENSE
OR
Enumeration date
11/13/2020
Last updated
04/09/2026
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