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Contact Information

KEITH D BALDERSTON, MD
3355 RIVERBEND DR
STE 210
SPRINGFIELD, OR97477-8800
 Phone: 541-485-2777
 Fax: 541-246-2353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KEITH D BALDERSTON · (Male)

NPI # 1871525337
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 05/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-13818
  • OR License # MD18230
  • WA License # MD60748459
  • OR Medicaid 067731
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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