DERECK BALBONTIN (NPI# 1811353063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811353063 |
| Entity Type | Individual |
| Full Name | DERECK BALBONTIN |
| Practice Address |
4160 Ne Sandy Blvd Portland OR 97212-5336 |
| Mailing Address |
1130 Ne 64th Ave Portland OR 97213-4912 |
| Practice Telephone | 5032499000 |
| Mailing Telephone | 8134700322 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 20563 | OR | Other Service Providers |
| Street Address |
4160 NE SANDY BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-5336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639428436 | Urgent Care Express PC | Clinic/Center | 4160 Ne Sandy Blvd, Suite 1200, Portland, OR 97212-5336 | 2012-09-07 |
| 1174136873 | Hayden River Hutchins | Acupuncturist | 4160 Ne Sandy Blvd, Portland, OR 97212-5336 | 2020-08-24 |
| 1700430469 | Madalyn Rose Britz | Massage Therapist | 4160 Ne Sandy Blvd, Portland, OR 97212-5336 | 2019-07-30 |
| 1639555162 | Mobilmed | Clinic/Center | 4160 Ne Sandy Blvd, Suite 1200, Portland, OR 97212-5336 | 2015-08-06 |
| 1801286117 | Portland Wellness Care | Clinic/Center | 4160 Ne Sandy Blvd, Suite 1100, Portland, OR 97212-5336 | 2015-01-26 |
| 1487065942 | Scott Alan Cathcart | Chiropractor | 4160 Ne Sandy Blvd, Portland, OR 97212-5336 | 2014-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548794779 | Sara Greenhouse | Mechanotherapist | 1417 N Shaver St, Portland, OR 97227-1060 | 2017-04-14 |
| 1740714963 | Mariza Noyama-zee | Mechanotherapist | 6516 Se 92nd Ave, Portland, OR 97266-5236 | 2017-04-13 |
| 1104367143 | Janae Schiller | Mechanotherapist | 825 Se 32nd Ave, Portland, OR 97214-4201 | 2017-03-09 |
| 1336686237 | Mariana Orantes Blackstone | Mechanotherapist | 16011 Ne Halsey St, Portland, OR 97230-5629 | 2017-01-30 |
| 1619321700 | Talor Lee-stiles | Mechanotherapist | 134 Ne 75th Ave, Portland, OR 97213-6315 | 2016-04-14 |
| 1184085144 | Alissa Lamb | Mechanotherapist | 1476 Ne Sumner St, Portland, OR 97211-4434 | 2016-03-17 |
| 1629436498 | Margarita Maria Mccabe | Mechanotherapist | 5310 Se Schiller St, Apt. A, Portland, OR 97206-4873 | 2016-02-08 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1932599263 | Lauren Mcaninch | Mechanotherapist | 4424 Se Clay St, Portland, OR 97215-3151 | 2015-01-26 |
| 1659779957 | Gretchen Hogue | Mechanotherapist | 3339 Se Division St, Suite F - Akasa Thai Healing Arts, Portland, OR 97202-1492 | 2014-12-18 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.