A BALANCED LIFE HEALTH CARE
Organization (NPI-2)
Active
Health Maintenance Organization
Provider Information
- NPI Number
1083040869- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2005 SE HAWTHORNE BLVD 20TH AND SE HAWTHORNE, PORTLAND, OR, 972143819
- Phone
- (503) 236-4580
- Fax
- (503) 231-8400
Specialties & Taxonomies
Health Maintenance Organization
Primary License: OR #020704040