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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE MATTHEW BALTRUSCH, MD

Active

KYLE MATTHEW BALTRUSCH, MD is a Plastic and Reconstructive Surgery healthcare provider located in PORTLAND, Oregon. NPI 1952741779 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · PORTLAND, OR

Registration Details

NPI Number
1952741779
Provider Type
Individual
Gender
Male
NPI Issued
Jun 25, 2013 (13.153223971865 yrs)
Last Updated
Jul 19, 2021
License
MD205639 (OR)

Practice Information

Address
1200 NW NAITO PKWY STE 310
PORTLAND, OR, 972092829
Browse OR providers · Browse ZIP 97209
Phone
5032929200
Fax
5032929205
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in PORTLAND, OR

Name Credential NPI
RICHARD C BUSBY MD 1720049299
DR. MARCUS W MELVIN M.D. 1346266368
DR. RICHARD HECTOR BENSIMON M.D. BOARD CERTIFIED 1831270545
DR. MICHAEL ERIC BALKOVICH MD 1134296791
DR. RACHEL E STREU M.D 1396867719
HEMANGINI J. THAKAR MD 1194929661
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.