Individual
ABIGAIL BALLABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AC169718
Contact information
Practice address
12555 SW 1ST ST., SAGE CENTER, BEAVERTON, OR 97005
(503) 389-8938
Mailing address
15524 NE HALSEY ST, PORTLAND, OR 97230-5337
(503) 389-8938
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC 60504025
WA
171100000X
Acupuncturist
Primary
AC169718
OR
Other
Enumeration date
11/18/2014
Last updated
10/19/2016
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