Provider Demographics
NPI:1215038245
Name:DANKERS, JOHANNES H (MD)
Entity Type:Individual
Prefix:
First Name:JOHANNES
Middle Name:H
Last Name:DANKERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HANS
Other - Middle Name:
Other - Last Name:DANKERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 969
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065
Mailing Address - Country:US
Mailing Address - Phone:425-831-2100
Mailing Address - Fax:425-831-2145
Practice Address - Street 1:404 MAIN AVE S.
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045
Practice Address - Country:US
Practice Address - Phone:425-888-5511
Practice Address - Fax:425-888-5513
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00015317207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8295602Medicaid
WAG8878989Medicare PIN
WAA09358Medicare UPIN
WAGAB08353Medicare PIN