Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD07032 | OR |
NPI | 1013903905 |
---|---|
Provider Name | Dr. Benjamin F Balme |
First Address | Portland, OR 97292-0900 |
Second Address | Portland, OR 97216-2448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 22/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
013888 | (05) | OR |
C94113 | (02) | OR |
XPY113680 | (05) | CA |