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Individual

DR. HENRY S JUAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(800) 813-2000
(360) 896-4470
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(800) 813-2000
(360) 896-4470

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-030506
IL
207R00000X
Internal Medicine Physician
190609
OR
207R00000X
Internal Medicine Physician
38324
WI
207R00000X
Internal Medicine Physician
Primary
IMLC.MD.60902208
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32287800
WI
Enumeration date
11/16/2006
Last updated
08/01/2025
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