Search › Washington › 374J00000X
Banchalem Tibebu
NPI 1831948736 · on the registry since 2024
Practice
- Address
- 17920 Linden Ave N Unit 502
Shoreline, WA 98133 - Phone
- (206) 471-3278
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington