Baltrusch, Kyle Matthew

Baltrusch, Kyle Matthew is an individual health care provider with primary practice located at 1200 Nw Naito Pkwy Ste 310 , Portland OR 97209-2829. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Baltrusch, Kyle Matthew can be contacted via phone (503) 292-9200.

Contact Information

Primary practice address
1200 Nw Naito Pkwy Ste 310 Portland OR 97209-2829
Phone: (503) 292-9200
Fax: (503) 292-9205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD205639 Oregon

Profile Details

NPI number 1952741779
LBN Legal business name Baltrusch, Kyle Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Jul 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952741779 NPPES
Oregon MEDICAID 500688755

Popular Providers