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

Saint Martin's University

Organization Sports Medicine (Family Medicine) Physician · NPI 1023898483

Saint Martin's University is a Sports Medicine (Family Medicine) Physician in Lacey, Washington. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5000 Abbey Way SE
Lacey, WA 98503-3200
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1023898483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass Iii — Administrator/Agent · (972) 367-4845
Other names Saint Martin'S University Athletics
NPI enumeratedOctober 3, 2023
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415