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1952741779
KYLE MATTHEW BALTRUSCH
PORTLAND, OR
NPI
1952741779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery Plastic and Reconstructive Surgery
(Licence: OR MD205639)
Enumeration Date
2013-06-25
Last Update Date
2021-07-19
Business Address
KYLE MATTHEW BALTRUSCH MD
1200 NW NAITO PKWY STE 310
PORTLAND, OR 97209-2829
Phone number: 503-292-9200
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Mailing Address
KYLE MATTHEW BALTRUSCH MD
1200 NW NAITO PKWY STE 310
PORTLAND, OR 97209-2829
Phone number: 503-292-9200
Copy
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