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South Sound Internal Medicine Pllc
Contractor in Olympia, Washington
NPI 1104987734

South Sound Internal Medicine Pllc is a Contractor based in Olympia, WA. South Sound Internal Medicine Pllc practices in Olympia, WA. The NPI Number for South Sound Internal Medicine Pllc is 1104987734 and holds a License No. GAB20096 (Washington).

The current practice location address for South Sound Internal Medicine Pllc is 3425 Ensign Rd Ne, Olympia, WA and can be reached out via phone at 360-491-1112 and via fax at 360-493-8160.

Location: 3425 Ensign Rd Ne, Olympia, WA, 98506-5425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104987734
Provider Name
South Sound Internal Medicine Pllc
Credential
Provider Entity Type
Organization
Address
3425 Ensign Rd Ne, Olympia, WA, 98506-5425
Phone Number
360-491-1112
Fax Number
360-493-8160
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0149442 01 WA LABOR & INDUSTRIES
7106826 05 WA
3911 01 WA COUNTY
institution
Provider Business Practice Location Address Details
Address
3425 Ensign Rd Ne
City
Olympia
State
Washington
Zip
98506-5425
Phone Number
360-491-1112
Fax Number
360-493-8160
person
Provider Business Mailing Address Details
Address
3425 Ensign Rd Ne
City
Olympia
State
Washington
Zip
98506-5425
Phone Number
360-491-1112
Fax Number
360-493-8160
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
GAB20096 (Washington)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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