# JOHN HERRERA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467493767
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1016774 | WA | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 11/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0153539 | WA L & I | — |
| 01 | — | 1659HE | REGENCE BS | — |
| 05 | — | 8358236 | — | WA |
| 01 | — | 8935586 | WA CRIME VICTIMS | — |
| 01 | — | A012 | CHAMPUS | — |