Individual
LOREN H ENGRAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 731-5735
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD00015901
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1521
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8365009
—
WA
Enumeration date
01/03/2007
Last updated
07/08/2007
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