Individual
JOSEPH BANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
861 GRANT AVE, BLAINE, WA 98230-5186
(360) 371-5855
(360) 371-5855
Mailing address
861 GRANT AVE, BLAINE, WA 98230-5186
(360) 371-5855
(360) 371-5857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61104869
WA
Other
Enumeration date
07/24/2020
Last updated
07/29/2025
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