# JOHN ABANO MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861900631
- **Authorized official:** JOHN ABANO MD (PRACTICE OWNER)
- **Authorized official phone:** (206) 687-7638

## Contact information

- **Practice address:** 20011 BALLINGER WAY NE STE C100, SHORELINE, WA 98155-1298
- **Practice address phone:** (206) 687-7638
- **Practice address fax:** (206) 906-9981
- **Mailing address:** 20011 BALLINGER WAY NE STE C100, SHORELINE, WA 98155-1298
- **Mailing address phone:** (206) 687-7638
- **Mailing address fax:** (206) 906-9981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 60242421 | WA | Yes |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 05/09/2018
