Organization
SOUTH SOUND PEDIATRICS PLLC
Active
Other names
South Sound Pediatrics Health Homes, South Sound Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH HARVEY MD (MEDICAL DIRECTOR/PARTNER)
(360) 456-1600
Entity
Organization
Contact information
Practice address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 456-1600
(360) 456-6504
Mailing address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 456-1600
(360) 456-6504
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029486
—
WA
Enumeration date
02/02/2017
Last updated
08/05/2025
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