Healthcare Provider Details

I. General information

NPI: 1235946476
Provider Name (Legal Business Name): SALA Y OH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12822 124TH LN NE
KIRKLAND WA
98034-7612
US

IV. Provider business mailing address

12822 124TH LN NE
KIRKLAND WA
98034-7612
US

V. Phone/Fax

Practice location:
  • Phone: 424-899-1040
  • Fax:
Mailing address:
  • Phone: 428-991-0405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number61348326
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF03260289
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: