Individual
KENNETH SALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 N DIVISION ST, PLAZA 2, SUITE 302, AUBURN, WA 98001-4939
(253) 394-0125
Mailing address
202 N DIVISION ST, PLAZA 2, SUITE 302, AUBURN, WA 98001-4939
(253) 394-0125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004745
WA
363A00000X
Physician Assistant
PA54732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9103236
WASH STATE LICENSE
WA
Enumeration date
10/16/2006
Last updated
04/21/2026
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