Individual
LINDE ELIZABETH BALIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 110, VANCOUVER, WA 98664-3293
(360) 254-6161
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA205750
OR
363A00000X
Physician Assistant
Primary
PA61541399
WA
Other
Enumeration date
12/20/2019
Last updated
05/15/2024
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