National Provider Identifier Database

BENJAMIN WIBONELE, MD – NPI #1285255448
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.


Contact Information

BENJAMIN WIBONELE, MD
104 27TH AVE SE
PUYALLUP, WA98374-1145
Phone: 253-770-9000
Fax: 253-770-9712
Website:
Specialty Taxonomy Code
* Otolaryngology 207Y00000X
Otology & Neurotology 207YX0901X

* Indicates primary specialty

NPI Profile & details for BENJAMIN WIBONELE

NPI Number 1285255448
Credentials MD
Entity Individual
Enumeration date 04/29/2020
Last updated 08/04/2025 - About 10 months ago
Sole proprietor1 No
Identifiers
  • WA License #: MD61666933
  • WA Medicaid: 2338134
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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