Individual
OCTAVIO HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD70087637
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
06/04/2026
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