Individual provider · NPI-1

Joel T Banken, MD

Family Medicine · East Wenatchee, WA

NPI number1144256298
StatusActive
Last updated in NPPESMay 25, 2022

Details

NPI
1144256298
Entity type
Individual (NPI-1)
Name
Joel T Banken
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 23, 2006
Certification date
May 25, 2022
Last updated
May 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD000388864WAYes

Practice location

100 Highline Dr
East Wenatchee, WA 98802-5341

Phone 509-884-0614

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028

Phone 509-663-8711

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in East Wenatchee, WA