NPI

Teresa Rose Banghart

NPI 1487828687

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2008-04-17
Last updated
2008-04-17

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Specialties

Licenses

License WA
RC00029979

Location

Practice location
811 Madison St
City
Everett WA
Postal code
98203-4543
Phone
(425) 347-3149

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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