Dr Kelly Mary Baltazar, ND, DC is a
Naturopath based in Portland, Oregon. Dr Kelly Mary Baltazar is licensed to practice in Oregon (license number 4063) and her current practice location is
3025 Sw Corbett Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 552-1551.
NPI number for Dr Kelly Mary Baltazar is 1669670550 and her current mailing address is 7425 Sw Aloma Way Apt 1, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669670550.
Healthcare Provider's Profile
| Full Name | Dr Kelly Mary Baltazar |
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| Gender | Female |
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| Speciality | Naturopath |
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| Location | 3025 Sw Corbett Ave, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669670550
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Dr Kelly Mary Baltazar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669670550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 5843 (Oregon) | Secondary |
| 175F00000X | Naturopath | 4063 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Mary Baltazar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kelly Mary Baltazar, ND, DC
7425 Sw Aloma Way Apt 1,
Portland, OR 97223-7919
Ph: (425) 269-8187 | Dr Kelly Mary Baltazar, ND, DC
3025 Sw Corbett Ave,
Portland, OR 97201-4858
Ph: (503) 552-1551 |
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