Individual
JUAN SEBASTIAN VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
589 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-1717
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-0757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA228322
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2025
Last updated
12/02/2025
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