Provider Demographics
NPI:1891821179
Name:SALMON, JAMES ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALAN
Last Name:SALMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:21810 76TH AVE WEST
Mailing Address - Street 2:#202
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7917
Mailing Address - Country:US
Mailing Address - Phone:425-771-5912
Mailing Address - Fax:425-670-8293
Practice Address - Street 1:21810 76TH AVE WEST
Practice Address - Street 2:#202
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7917
Practice Address - Country:US
Practice Address - Phone:425-771-5912
Practice Address - Fax:425-670-8293
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000202412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1959808Medicaid
WAGAB34712Medicare ID - Type Unspecified
A09186Medicare UPIN