Individual
ANDREA BANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 PROVIDENCE DR, EMERGENCY DEPARTMENT, NEWBERG, OR 97132-7485
(503) 537-1785
Mailing address
1001 PROVIDENCE DR, EMERGENCY DEPARTMENT, NEWBERG, OR 97132-7485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA179541
OR
363AM0700X
Medical Physician Assistant
PA179541
OR
Other
Enumeration date
05/13/2015
Last updated
10/13/2020
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