Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Sound Pediatrics PLLC

Organization Pediatrics Physician · NPI 1073684692

South Sound Pediatrics PLLC provides Pediatrics Physician services in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3516 12th Ave NE
Olympia, WA 98506-5218
Phone: (360) 456-1600
Fax: (360) 456-6504
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (WA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1073684692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Harvey — Medical Director/Partner · (360) 456-1600
NPI enumeratedNovember 13, 2006
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address3516 12th Ave Ne, Olympia, WA 98506-5218

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