Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dereck Balbontin

Individual provider Mechanotherapist · NPI 1811353063

Dereck Balbontin is a Mechanotherapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
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Practice location Address checks out

4160 NE Sandy Blvd
Portland, OR 97212-5336
Phone: (503) 249-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence 20563 (OR)

Record details

NPI number1811353063
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 4, 2016
Last updated in NPPESJanuary 15, 2016

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