Provider Demographics
NPI:1144823733
Name:SALIDO, SAUL
Entity type:Individual
Prefix:MR
First Name:SAUL
Middle Name:
Last Name:SALIDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 NE 11TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-4407
Mailing Address - Country:US
Mailing Address - Phone:206-293-7930
Mailing Address - Fax:206-260-1348
Practice Address - Street 1:4105 NE 11TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-4407
Practice Address - Country:US
Practice Address - Phone:206-293-7930
Practice Address - Fax:206-260-1348
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6317171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6317OtherDSHS
WAMC56265OtherDSHS