INVARA CLINIC
NPI 1790451292
Clinic/Center in Sultan, WA

Active since August 17, 2021

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2022, Aug 17, 2021 (2 updates tracked since 2021).

About Invara Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INVARA CLINIC (NPI 1790451292) is a healthcare organization registered as a clinic/center in Sultan, Washington and active in the NPI registry since August 2021. The organization lists Simeon Roth, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790451292
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKSR HEALTH CARE LLC
Location Address31111 US-2Sultan, WA 98294
Mailing AddressPo Box 90Sultan, WA 98294-0090
Organization SubpartNo
Authorized OfficialSimeon RothCeo · (360) 953-5250
Enumeration DateAugust 17, 2021
Last NPPES UpdateMarch 2, 20222 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1790451292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

31111 US-2, Sultan, WA 98294

Other Names 1

Doing Business AsInvara Clinic

Other Identifiers 1

Medicaid2132773WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Clinic Pharmacy)
31111 US-2
SULTAN, WA 98294

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790451292, enumerated as an "organization" on August 17, 2021.

The provider is located at 31111 US-2 SULTAN, WA 98294 and the phone number is (360) 953-5250.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.