Provider Demographics
NPI:1518053966
Name:SALINAS, JOSEPH P (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:SALINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1446 SPAULDING PARK
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4720
Mailing Address - Country:US
Mailing Address - Phone:509-628-2843
Mailing Address - Fax:509-628-3843
Practice Address - Street 1:1446 SPAULDING PARK
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4720
Practice Address - Country:US
Practice Address - Phone:509-628-2843
Practice Address - Fax:509-628-3843
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037337207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1115344Medicaid
WAGAB26875OtherMEDICARE PTAN
WAGAB26875OtherMEDICARE PTAN