Abigail Ballaban, AC169718

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC169718 Issued in OR

Practice address

12555 SW 1St St.
Sage Center
Beaverton, OR 97005

Phone

(503) 389-8938

NPI assigned

Nov 18, 2014

Last updated

Oct 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1356747323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15524 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305337",
            "telephone_number": "503-389-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 SW 1ST ST.",
            "address_2": "SAGE CENTER",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97005",
            "telephone_number": "503-389-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLABAN",
        "first_name": "ABIGAIL",
        "credential": "AC169718",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC169718",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60504025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordianne Orallo Balan, PHARMD
• Balance NW Chiropractic & Massage, PC
• Nisha Baliga
• Karen A. Ball, LMT
• Traci Renee Ball
• Cenica L Ballantyne, LMT
• Andrew Martin Ballard, D.D.S.
• Michael Balogh, L.AC.
• Rebecca Bamberg, LMT
• Bamboo Gardens Acupuncture

• Acupuncturist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.