Individual
ENRIQUE CARLOS VILLACRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 731-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00020262
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009398
—
WA
01
—
5271
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
10/24/2007
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