Most Relevant Information
Provider Data
| NPI Number: | 1003460064 |
| Provider Name: | OSCAR HERRERA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP60957049 |
Most Important Dates
| Enumeration Date: | 07/29/2019 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
220 15TH AVE SE
PUYALLUP
WA
983723797
Practice Location Phone/Fax
| Phone: | 2536978610 |
| Fax: |
Provider Mailing Location
220 15TH AVE SE
PUYALLUP
WA
983723797
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |