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

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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4160 NE Sandy Blvd
Portland, OR 97212-5336
Phone: (503) 249-9000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address1130 Ne 64th Ave, Portland, OR 97213-4912

Other providers in Portland