Healthcare Provider Details

I. General information

NPI: 1568366672
Provider Name (Legal Business Name): MARILYN SALAS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2312 168TH ST SE
BOTHELL WA
98012-6054
US

IV. Provider business mailing address

2312 168TH ST SE
BOTHELL WA
98012-6054
US

V. Phone/Fax

Practice location:
  • Phone: 425-247-8911
  • Fax:
Mailing address:
  • Phone: 425-247-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70149944-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: