Organization · NPI-2

Balance Health & Injury Clinic, PC

Acupuncturist · Gresham, OR

NPI number1013289735
StatusActive
Last updated in NPPESAug 15, 2022

Details

NPI
1013289735
Entity type
Organization (NPI-2)
Legal business name
Balance Health & Injury Clinic, PC
Organization subpart
No
Enumeration date
Jan 27, 2012
Certification date
Aug 15, 2022
Last updated
Aug 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistAC00635ORYes
111N00000X Chiropractor3243OR

Other names

  • Balance (Doing Business As)

Practice location

1217 Ne Burnside Rd Ste 301
Gresham, OR 97030-5705

Phone 503-492-2625 · Fax 503-492-2355

Mailing address

1217 Ne Burnside Rd
Suite 301
Gresham, OR 97030-5705

Phone 503-492-2625 · Fax 503-492-2355

Authorized official

Daniel Leonard Desjardins
Chiropractor
5034922625

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