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

South Sound Family & Sports

Organization Family Medicine Physician · NPI 1558446211

South Sound Family & Sports is a Family Medicine Physician 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
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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