Iregui, Juan C

Iregui, Juan C is an individual health care provider with primary practice located at 6350 Ne Halsey St , Portland OR 97213-4720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Iregui, Juan C can be contacted via phone (503) 215-2669.

Contact Information

Primary practice address
6350 Ne Halsey St Portland OR 97213-4720
Phone: (503) 215-2669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0089146 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD00046468 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD209288 Oregon

Profile Details

NPI number 1336191618
LBN Legal business name Iregui, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336191618 NPPES
Washington Other 0240615 STATE L&I
Washington MEDICAID 271170200 STATE L&I
Washington Other 8941690 STATE L&I
Washington MEDICAID 8457285 STATE L&I
Washington Other 0210626 STATE L&I
Washington Other 8948910 STATE L&I

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