Individual
DR. CARLOS ENRIQUE MONTIEL HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2075 BARKLEY BLVD, #105, BELLINGHAM, WA 98226-6614
(360) 671-3345
(360) 650-1354
Mailing address
709 W ORCHARD DR STE 4, BELLINGHAM, WA 98225-1766
(360) 318-8800
(360) 318-1085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60002202
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0275784
L&I
WA
01
—
238292
L & I
WA
01
—
2795270824
MYUTMB 2795270824-COMMERCIAL NUMBER
—
01
—
8685901
WA DSHS
WA
Enumeration date
06/14/2007
Last updated
07/13/2016
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