| Doctor Name: | MR. THOMAS BERNARD BALCH |
| NPI Number: | 1306848932 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | AP3 0000357 258-04 |
| Business Practice Address: | 38700 Se River St Snoqualmie, WA - 980652013 |
| Business Phone Number: | 4258882299 |
| Business Fax Number: | 4258881204 |
| Mailing Address: | Po Box 2013, SNOQUALMIE |
| State: | WA |
| Postal Code: | 980652013 |
| Phone Number: | 4258882299 |
| Fax Number: | 4258881204 |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 05/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP3 0000357 258-04 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |