Provider Demographics
NPI:1386321313
Name:SOL INTEGRATIVE
Entity type:Organization
Organization Name:SOL INTEGRATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:RASCON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-423-8561
Mailing Address - Street 1:1909 E 6TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-4276
Mailing Address - Country:US
Mailing Address - Phone:626-423-8561
Mailing Address - Fax:
Practice Address - Street 1:2800 E EVERGREEN BLVD STE A
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-4979
Practice Address - Country:US
Practice Address - Phone:626-423-8561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center