| South Sound Family & Sports | |
|
2960-a Limited Lane Nw Olympia WA 98502-4541 | |
| (360) 709-9500 | |
| (360) 754-4517 |
| Full Name | South Sound Family & Sports |
|---|---|
| Speciality | Family Medicine |
| Location | 2960-a Limited Lane Nw, Olympia, Washington |
| Authorized Official Name and Position | Jenny A Blake (OPS MANAGER) |
| Authorized Official Contact | 3607099500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sound Family & Sports 2960 Limited Ln Nw Ste A Olympia WA 98502-4541 Ph: (360) 709-9500 | South Sound Family & Sports 2960-a Limited Lane Nw Olympia WA 98502-4541 Ph: (360) 709-9500 |
| NPI Number | 1558446211 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 07/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558446211 | NPI | - | NPPES |
| 7122450 | Other | DSHS | |
| 50D1031645 | Other | CLIA | |
| O186019 | Other | L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 602369889 (Washington) | Primary |
Nisqually Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4816 She Nah Num Dr Se, Olympia, WA 98513 Phone: 360-459-5312 Fax: 360-407-0860 | |
Olympia Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282 | |
Providence St Peter Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Northwest Vision Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Cooper Point Rd Sw, Suite 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Lacambra Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7205 Martin Way E, Suite A-69, Olympia, WA 98516 Phone: 206-403-7410 | |
Daniel T. Dugaw,d.o., P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Black Hills Ln Sw, Suite E, Olympia, WA 98502 Phone: 360-352-8781 Fax: 360-352-8837 | |
Olympia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7010 Fax: 360-923-7089 |