DR. LEONORA BALBUENA DANTAS


Address: 3550 N Interstate Ave, Portland, OR 97227-1196
Phone: 5033316440

DR. LEONORA BALBUENA DANTAS (NPI# 1790798270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790798270
Entity Type Individual
Full Name DR. LEONORA BALBUENA DANTAS
Other Name DR. LEONORA BALBUENA MANZANO
Credential MD
Practice Address 3550 N Interstate Ave
Portland
OR 97227-1196
Practice Telephone 5033316440
Mailing Telephone 5036360763
Enumeration Date 2006-08-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204D00000X Neuromusculoskeletal Medicine & OMM WAMD00034628 WA Allopathic & Osteopathic Physicians
Y 204D00000X Neuromusculoskeletal Medicine & OMM ORMD0277 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 3550 N INTERSTATE AVE
City PORTLAND
State OR
Zip Code 97227-1196

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255335295 Brenda R Annotti Registered Nurse 3550 N Interstate Ave, Portland, OR 97227 2005-06-08
1124633326 Ajna Rae Counselor 3550 N Interstate Ave, Portland, OR 97227-1196 2020-09-14
1649822420 Rosa Ahn Student in an Organized Health Care Education/Training Program 3550 N Interstate Ave, Portland, OR 97227-1196 2019-07-12
1154882132 Casey Grad Granbois Student in an Organized Health Care Education/Training Program 3550 N Interstate Ave, Portland, OR 97227-1196 2019-03-30
1750855425 Julie Catherine Leffler Student in an Organized Health Care Education/Training Program 3550 N Interstate Ave, Portland, OR 97227-1196 2019-01-16
1487125738 John Mark Custer Social Worker 3550 N Interstate Ave, Portland, OR 97227-1196 2018-12-16
1548776842 Heather Jacobs Registered Nurse 3550 N Interstate Ave, Portland, OR 97227-1196 2017-12-21
1245764075 Ryan Nesbit Student in an Organized Health Care Education/Training Program 3550 N Interstate Ave, Portland, OR 97227-1196 2017-04-19
1023552460 Chia Neng Vang Pharmacist 3550 N Interstate Ave, Portland, OR 97227-1196 2016-12-04
1295278307 Fideliz Enrile Lim Pharmacist 3550 N Interstate Ave, Portland, OR 97227-1196 2016-11-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1851955975 Erin Marie Staples Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 2019-04-24
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1730615071 Mehran Giblin Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 2017-05-05
1730623687 Christina Grace Belter Optometrist 300 N Graham St Ste 300, Portland, OR 97227 2016-12-12
1407300205 Jenna Abernathy Counselor 3537 N Williams Ave, Portland, OR 97227 2016-08-09
1215390760 Tanya Marie Woods Massage Therapist 3808 N. Williams Ave., Portland, OR 97227 2016-04-01
1033596853 Eric Allen Martin Counselor 2054 N. Vancouver Ave, Portland, OR 97227 2015-04-30
1285040436 Berk Neurosurgical LLC Neurological Surgery 501 N Graham St Ste 500, Portland, OR 97227 2014-07-09
Find all providers in zip 97227

Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition]
- Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720614449 Keith Turner Slicho, Do, PC Neuromusculoskeletal Medicine & OMM 700 Ne Multnomah St Ste 330, Portland, OR 97232-4103 2020-03-13
1417428848 David D Keller Do PC Neuromusculoskeletal Medicine & OMM 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 2018-12-11
1548402811 Juliette Sophie Preston Neuromusculoskeletal Medicine & OMM 3303 Sw Bond Ave Fl 8, Portland, OR 97239-4501 2009-04-01
1891871455 Gregory John Esmer Neuromusculoskeletal Medicine & OMM 4039 N Mississippi Ave Ste 203, Portland, OR 97227-1477 2006-10-27
1275622318 William James Bernstein Neuromusculoskeletal Medicine & OMM 3710 Us Veterans Hosp Rd # 417, Portland Vamc, Portland, OR 97239 2006-10-12
1023103934 James L Cook Neuromusculoskeletal Medicine & OMM 2814 Se Steele St # 7, Portland, OR 97202-4525 2006-10-04
1497768964 Yuri Hiranuma Neuromusculoskeletal Medicine & OMM 1312 E Burnside St, Portland, OR 97214-1424 2006-08-14
1871539247 Alicia Smilowicz Neuromusculoskeletal Medicine & OMM 466 Ocean Ave, 1st Floor, Portland, ME 04103-5718 2006-06-22
1043254378 Keith W Kale Neuromusculoskeletal Medicine & OMM 10748 Ne Halsey St, Portland, OR 97220-3961 2006-06-16
1043257561 Adi Michelle Philpott Neuromusculoskeletal Medicine & OMM 37 Leonard St, Portland, ME 04103-2512 2006-06-01
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97227

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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