Abigail Ballaban, AC169718 | |
12555 Sw 1st St., Sage Center, Beaverton, OR 97005 | |
(503) 389-8938 | |
Not Available |
Full Name | Abigail Ballaban |
---|---|
Gender | Female |
Speciality | Acupuncturist |
Location | 12555 Sw 1st St., Beaverton, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356747323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AC169718 (Oregon) | Primary |
171100000X | Acupuncturist | AC 60504025 (Washington) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Abigail Ballaban, AC169718 15524 Ne Halsey St, Portland, OR 97230-5337 Ph: (503) 389-8938 | Abigail Ballaban, AC169718 12555 Sw 1st St., Sage Center, Beaverton, OR 97005 Ph: (503) 389-8938 |
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