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General NPI Number Information
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NPI Number | 1295181121
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Entity Type | Individual
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Provider Name | ELAINE MARIE ARIAS BALLAR PA
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Gender | Female
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 2529 NE 139TH ST STE 110
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City | VANCOUVER
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State | WA
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Zip | 98686-2719
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Country | US
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Telephone | 360-882-2778
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4825
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City | PORTLAND
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State | OR
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Zip | 97208-4825
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Country | US
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Telephone | 360-882-2778
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA184002
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110-005400
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA61328324
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License Number State | WA
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