Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Sound Family & Sports

Organization Family Medicine Physician · NPI 1558446211

South Sound Family & Sports provides Family Medicine Physician services in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

2960-A Limited Ln NW
Olympia, WA 98502-4541 Not confirmed with CMS for 14 years — call before visiting
Phone: (360) 709-9500
Fax: (360) 754-4517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 602369889 (WA)

Record details

NPI number1558446211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Blake — Ops Manager · (360) 709-9500
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 10, 2012
Mailing address2960 Limited Ln Nw Ste A, Olympia, WA 98502-4541

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