Organization
IPP, PC
Active
Other names
Institute for Minimally Invasive Spine Medicine and Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON KAMSON M.D. (PRESIDENT)
(425) 486-1000
Entity
Organization
Contact information
Practice address
1629 220TH ST SE, SUITE 120, BOTHELL, WA 98021-8466
(425) 939-5196
(425) 939-5193
Mailing address
PO BOX 100, BOTHELL, WA 98041-0100
(425) 939-5196
(425) 939-5193
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174250
STATE LABOR & INDUSTRIES
WA
Enumeration date
01/03/2007
Last updated
08/22/2020
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