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Contact Information

RICK BALESTRA, MD
1111 NE 99TH AVE STE 200
PORTLAND, OR97220-9442
 Phone: 503-963-3030
 Fax: 503-963-3140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RICK BALESTRA · (Male)

NPI # 1184824351
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2007
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD169371
  • OR Medicaid 500679518
  • WA Medicaid 2078063
Hospital affiliation(s)
  • PROVIDENCE MILWAUKIE HOSPITAL - (Acute Care)
    10150 SE 32ND AVENUE
    MILWAUKIE, OR 97222
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER - (Acute Care)
    1500 DIVISION STREET
    OREGON CITY, OR 97045
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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