# EAR NOSE AND THROAT ASSOCIATES SOUTHWEST INC PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OLYMPIA SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487669305
- **Authorized official:** DR. SUNG-WON KIM M.D. (OWNER/PARTNER)
- **Authorized official phone:** (360) 357-6314

## Contact information

- **Practice address:** 128 LILLY RD NE STE 101, OLYMPIA, WA 98506-7400
- **Practice address phone:** (360) 634-4070
- **Practice address fax:** (360) 634-4071
- **Mailing address:** 128 LILLY RD NE STE 202, OLYMPIA, WA 98506-5029
- **Mailing address phone:** (360) 357-6314
- **Mailing address fax:** (360) 705-3745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 06/15/2023