MEDICARE: STEVEN BALSHEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	L11331	OR

General Provider Information

NPI Number	:	1386087948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN BALSHEM

Provider Business Mailing Address
First Line	:	2705 E BURNSIDE ST STE 206
Second Line	:	PMB 36
City	:	PORTLAND
State	:	OR
Zip	:	97214-1768
Country	:	US
Telephone Number	:	503-662-2536
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 E BURNSIDE ST STE 100
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-1850
Country	:	US
Telephone Number	:	503-662-2536
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2013
Last Update Date	:	12/09/2025

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