Provider Demographics
NPI:1417239633
Name:SALMON, KRISHA M (DVM)
Entity Type:Individual
Prefix:DR
First Name:KRISHA
Middle Name:M
Last Name:SALMON
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:KRISHA
Other - Middle Name:S
Other - Last Name:MROCZEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:1748 W 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3657
Mailing Address - Country:US
Mailing Address - Phone:541-485-4595
Mailing Address - Fax:
Practice Address - Street 1:1748 W 18TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402
Practice Address - Country:US
Practice Address - Phone:541-485-4595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT00006319174M00000X
AZ4835174M00000X
OR6984174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian