Individual
ELISA ABALLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2925 RIVER RD S STE 200, SALEM, OR 97302-3677
(503) 585-4824
(503) 370-2545
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12458
WA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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