Individual
LUIS RENE MANRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 N LIDGERWOOD ST, SPOKANE, WA 99208-5095
(509) 444-8200
(509) 434-0392
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60676514
WA
390200000X
Student in an Organized Health Care Education/Training Program
PG162924
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2013
Last updated
04/11/2024
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