Healthcare Provider Details

I. General information

NPI: 1356752091
Provider Name (Legal Business Name): JOSHUA FRENKEL MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2014
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 M ST NE
AUBURN WA
98002-4586
US

IV. Provider business mailing address

34719 6TH AVE S
FEDERAL WAY WA
98003-8714
US

V. Phone/Fax

Practice location:
  • Phone: 206-222-1709
  • Fax: 855-929-1515
Mailing address:
  • Phone: 62-222-1709
  • Fax: 855-929-1515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberE-11308
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD61259007
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: