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Active NPI 1558435040 Organization (Entity Type 2)

Ipp, Pc

Clinic/Center - Ambulatory Surgical • Bothell, WA

About Ipp, Pc NPI 1558435040 Summary

Ipp, Pc is a verified healthcare organization specializing in Clinic/Center - Ambulatory Surgical operating in Bothell, WA. Located at 1629 220TH ST SE, SUITE 204, this facility provides patient care and medical services under National Provider Identifier (NPI) 1558435040.

Administrative operations and authorized compliance are overseen by Solomon Kamson (President).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1629 220th St Se
Suite 204

Bothell, WA 980218466

Telephone 4259395157
Fax 4259395202

Authorized Official Information

Authorized Contact Name

Solomon Kamson , M.D.

Title / Role

President

Official Telephone

4254861000

Facility Classifications & Specialties

Clinic/Center - Ambulatory Surgical Primary Taxonomy

NUCC Taxonomy Code: 261QA1903X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Physical Therapist

Bothell, WA

View Practitioner Profile →

Pain Medicine - Interventional Pain Medicine

Bothell, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1629 220TH ST SE, SUITE 204, BOTHELL, WA 980218466 (Tel: 4259395157)

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Updated Business Mailing Address July 09, 2007

Registered at PO BOX 490, BOTHELL, WA 980410490 (Tel: 4259395157)

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Organization / Clinic Name Updated July 09, 2007

Operating as IPP, PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Clinic/Center

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Initial NPI Registration & Enumeration November 17, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1558435040
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 17, 2006
Last Update: August 22, 2020

Mailing Address

Po Box 490

Bothell, WA 980410490

Phone: 4259395157

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.