# DPMSALTONPRWA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790966851
- **Authorized official:** DR. HEATHER LYN SALTON (OWNER)
- **Authorized official phone:** (253) 841-3668

## Contact information

- **Practice address:** 11201 88TH AVE E, SUITE 210, PUYALLUP, WA 98373-3802
- **Practice address phone:** (253) 841-3668
- **Practice address fax:** (253) 841-0878
- **Mailing address:** PO BOX 50150, BELLEVUE, WA 98015-0150
- **Mailing address phone:** (425) 228-5228
- **Mailing address fax:** (425) 228-5733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000834 | WA | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 01/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7141864 | — | WA |