# IPP, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Washington Spine Diagnostic and Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558435040
- **Authorized official:** SOLOMON KAMSON M.D. (PRESIDENT)
- **Authorized official phone:** (425) 486-1000

## Contact information

- **Practice address:** 1629 220TH ST SE, SUITE 204, BOTHELL, WA 98021-8466
- **Practice address phone:** (425) 939-5157
- **Practice address fax:** (425) 939-5202
- **Mailing address:** PO BOX 490, BOTHELL, WA 98041-0490
- **Mailing address phone:** (425) 939-5157
- **Mailing address fax:** (425) 939-5202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0156259 | LABOR & INDUSTRIES | WA |
| 01 | — | 8410IN | REGENCE | WA |