Individual
LUIS NINO ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 121ST ST SE, EVERETT, WA 98208-5985
(425) 357-3304
(425) 357-3317
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60461203
WA
207Q00000X
Family Medicine Physician
ML 60222971
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020984
—
WA
Enumeration date
06/16/2011
Last updated
04/23/2026
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