Dr. Michael Eric Balkovich
Plastic and Reconstructive Surgery
5050 Ne Hoyt St Suite 515
Portland
, Oregon 97213-2991
Dr. Michael Eric Balkovich
Plastic and Reconstructive Surgery
5050 Ne Hoyt St Suite 515
Portland
, Oregon 97213-2991
(503) 236-7031
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Michael Eric Balkovich
- 5050 Ne Hoyt St Suite 515
- Portland, OR
- Zip : 97213-2991
- Fax : (503) 236-7031
- Phone : (503) 236-7743
Second Address
- Dr. Michael Eric Balkovich
- 5050 Ne Hoyt St Suite 515
- Portland, OR
- Zip : 97213-2991
- Fax : (503) 236-7031
- Phone : (503) 236-7743
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | MD13984 | OR |
National Provider Identifier
| NPI | 1134296791 |
|---|---|
| Provider Name | Dr. Michael Eric Balkovich |
| First Address | Portland, OR 97213-2991 |
| Second Address | Portland, OR 97213-2991 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 30/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 221762 | (05) | OR |
| C92146 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.