Individual
JUAN ANDRES HERREJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
(206) 326-3659
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61065008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932606647
—
WA
Enumeration date
04/09/2018
Last updated
10/25/2022
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