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NPI Code Detail

MEDICARE: KATHERYN RAE SALOW MD

MEDICARE: KATHERYN RAE SALOW MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianML61545881WA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1649025263
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERYN RAE SALOW MD
Provider Business Mailing Address
First Line : 1959 NE PACIFIC ST BOX 356421
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-543-3605
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST BOX 356421
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 661-904-4667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2024
Last Update Date : 12/13/2025

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Directions to “ KATHERYN RAE SALOW MD” Practice Location

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