Provider Demographics
NPI:1952698862
Name:SALCEDO, VICTOR M (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:M
Last Name:SALCEDO
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 1:8129 LAKE BALLINGER WAY UNIT 105
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-9182
Mailing Address - Country:US
Mailing Address - Phone:206-865-0193
Mailing Address - Fax:206-238-2749
Practice Address - Street 1:8129 LAKE BALLINGER WAY UNIT 105
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-9182
Practice Address - Country:US
Practice Address - Phone:206-865-0193
Practice Address - Fax:206-238-2749
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60850555207Q00000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine