Individual provider Active NPI

Marianne Munch Banke, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1861647307
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01213 Issued in OR
Practice address
1535 NE 41St Ave
Portland, OR 97232-1807
Phone
(503) 282-9777
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01213 OR Primary

Addresses

Primary practice location

1535 NE 41St Ave
Portland, OR 97232-1807

Mailing address

2839 NE 69TH Ave
Portland, OR 97213-4653
Phone (503) 287-4066

Other names 1

  • Marianne Munch Krokee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC01213ORMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1861647307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 NE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134653",
            "telephone_number": "503-287-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 NE 41ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321807",
            "telephone_number": "503-282-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKE",
        "first_name": "MARIANNE",
        "middle_name": "MUNCH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "KROKEE",
            "middle_name": "MUNCH",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.