Individual
ABIGAIL BALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1580 NE 32ND AVE APT 203, PORTLAND, OR 97232-3554
(808) 469-8649
Mailing address
1580 NE 32ND AVE APT 203, PORTLAND, OR 97232-3554
(808) 469-8649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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