Provider Demographics
NPI:1639446586
Name:PECH CINNAMON, SOLOMON FRANK (PA-C)
Entity Type:Individual
Prefix:
First Name:SOLOMON
Middle Name:FRANK
Last Name:PECH CINNAMON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:SOLOMON
Other - Middle Name:FRANK
Other - Last Name:PECH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6400 SOUTHCENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2547
Mailing Address - Country:US
Mailing Address - Phone:206-901-2000
Mailing Address - Fax:
Practice Address - Street 1:10700 MERIDIAN AVE N STE G11
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9008
Practice Address - Country:US
Practice Address - Phone:206-461-3614
Practice Address - Fax:206-634-3596
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60269197101Y00000X
WAPA60656083363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical