Provider Demographics
NPI:1235393422
Name:SALTERS, RISA LEANNE (LSWAIC)
Entity Type:Individual
Prefix:
First Name:RISA
Middle Name:LEANNE
Last Name:SALTERS
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12110 SE 312TH ST APT F203
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-3353
Mailing Address - Country:US
Mailing Address - Phone:509-389-5603
Mailing Address - Fax:
Practice Address - Street 1:WESTERN STATE HOSPITAL 9601 STEILACOOM BLVD. SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498
Practice Address - Country:US
Practice Address - Phone:253-984-5870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker