Organization
IPP, PC
Active
Other names
Washington Spine Diagnostic and Treatment Center
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 204, BOTHELL, WA 98021-8466
(425) 939-5157
(425) 939-5202
Mailing address
PO BOX 490, BOTHELL, WA 98041-0490
(425) 939-5157
(425) 939-5202
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156259
LABOR & INDUSTRIES
WA
01
—
8410IN
REGENCE
WA
Enumeration date
11/17/2006
Last updated
08/22/2020
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