Abigail Ballaban, AC169718

NPI #1356747323 in Beaverton, Oregon

Provider Information

NPI Number: 1356747323
Entity Type: Individual
Name: Abigail Ballaban, AC169718
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: AC169718
Enumeration Date: Nov 18, 2014
Last Updated: Oct 19, 2016

Practice Location

Address: 12555 SW 1ST ST.
Address 2: SAGE CENTER
City: Beaverton
State: Oregon
ZIP Code: 97005
Phone: (503) 389-8938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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