person
Kyle Matthew Baltrusch, MD
Plastic and Reconstructive Surgery Physician in Portland, Oregon
NPI 1952741779

Kyle Matthew Baltrusch is a Plastic and Reconstructive Surgery Physician based in Portland, OR and is specialized in Plastic and Reconstructive Surgery. Kyle Matthew Baltrusch practices in Portland, OR and has the professional credentials of MD. The NPI Number for Kyle Matthew Baltrusch is 1952741779 and holds a License No. MD205639 (Oregon).

The current practice location address for Kyle Matthew Baltrusch is 1200 Nw Naito Pkwy Ste 310, Portland, OR and can be reached out via phone at 503-292-9200 and via fax at 503-292-9205.

Location: 1200 Nw Naito Pkwy Ste 310, Portland, OR, 97209-2829
person
Provider Profile Details
NPI Number
1952741779
Provider Name
Kyle Matthew Baltrusch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 Nw Naito Pkwy Ste 310, Portland, OR, 97209-2829
Phone Number
503-292-9200
Fax Number
503-292-9205
Provider Enumeration Date
06/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500688755 05 OR
institution
Provider Business Practice Location Address Details
Address
1200 Nw Naito Pkwy Ste 310
City
State
Zip
97209-2829
Phone Number
503-292-9200
Fax Number
503-292-9205
person
Provider Business Mailing Address Details
Address
1200 Nw Naito Pkwy Ste 310
City
State
Zip
97209-2829
Phone Number
503-292-9200
Fax Number
503-292-9205
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MD205639 (Oregon)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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