Provider Demographics
NPI:1326239898
Name:JAMES A. SALMON, M.D. PS
Entity Type:Organization
Organization Name:JAMES A. SALMON, M.D. PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN, PSYCHIATRIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-771-5912
Mailing Address - Street 1:19520 66TH AVE W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5163
Mailing Address - Country:US
Mailing Address - Phone:425-771-5912
Mailing Address - Fax:425-670-8293
Practice Address - Street 1:19520 66TH AVE W
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5163
Practice Address - Country:US
Practice Address - Phone:425-771-5912
Practice Address - Fax:425-670-8293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000202412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1959808Medicaid
WA1959808Medicaid