Provider Demographics
NPI:1205295250
Name:KAISER HEALTH SOLUTIONS PS
Entity type:Organization
Organization Name:KAISER HEALTH SOLUTIONS PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-920-8180
Mailing Address - Street 1:203 5TH AVE S STE 7
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3638
Mailing Address - Country:US
Mailing Address - Phone:206-920-8180
Mailing Address - Fax:
Practice Address - Street 1:203 5TH AVE S STE 7
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3638
Practice Address - Country:US
Practice Address - Phone:425-488-3411
Practice Address - Fax:206-420-5386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60474806111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty