Organization
SOUTH SOUND WOMEN'S CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD N HENEGAN MD (MANAGING PARTNER)
(360) 705-1259
Entity
Organization
Contact information
Practice address
3920 CAPITAL MALL DR SW, SUITE 400, OLYMPIA, WA 98502
(360) 705-1259
(360) 705-2757
Mailing address
3920 CAPITAL MALL DR SW, SUITE 400, OLYMPIA, WA 98502
(360) 705-1259
(360) 705-2757
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7075617
—
WA
Enumeration date
11/28/2006
Last updated
08/22/2020
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