Healthcare Provider Details

I. General information

NPI: 1912195710
Provider Name (Legal Business Name): JAMES R ENRIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 HOYT AVE
EVERETT WA
98201-4918
US

IV. Provider business mailing address

3901 HOYT AVE
EVERETT WA
98201-4918
US

V. Phone/Fax

Practice location:
  • Phone: 425-258-3903
  • Fax: 425-339-4238
Mailing address:
  • Phone: 425-258-3903
  • Fax: 425-339-4238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD00013726
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: