Organization
SOUTH SOUND INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY HILL (PRACTICE ADMINISTRATOR)
(360) 491-1112
Entity
Organization
Contact information
Practice address
3425 ENSIGN RD NE, SUITE 220, OLYMPIA, WA 98506-5425
(360) 491-1112
(360) 493-8160
Mailing address
3425 ENSIGN RD NE, SUITE 220, OLYMPIA, WA 98506-5425
(360) 491-1112
(360) 493-8160
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
GAB20096
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149442
LABOR & INDUSTRIES
WA
01
—
3911
COUNTY
WA
05
—
7106826
—
WA
Enumeration date
12/13/2006
Last updated
08/22/2020
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