Individual
ALESIA L BABAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12014 SE MILL PLAIN BLVD, S120, VANCOUVER, WA 98684-4043
(360) 891-0199
Mailing address
17223 SE DIVISION ST, PORTLAND, OR 97236-1240
(503) 760-0778
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16263
OR
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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