NPI 1083040869

A Balanced Life Health Care

Organisation Health Maintenance Organization Portland, OR

Practice location

Address: 2005 SE Hawthorne Blvd 20th and SE Hawthorne, Portland, OR 97214-3819
Phone: (503) 236-4580
Fax: (503) 231-8400
Mailing address: 2005 SE Hawthorne Blvd. 20th and SE Hawthorne, Portland, OR 97214

Authorised official

Name: Debbie Lynn Vanett
Title: Office Manager
Phone: (503) 236-4580

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 020704040 (OR)

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1083040869
Entity type: Organization
NPI issued: 24 Sep 2013
Record last updated: 24 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.