OrganizationActive
Ear Nose and Throat Associates Southwest Inc Ps
NPI 1487669305 · Ambulatory Surgical Clinic/Center · Olympia, WA
Provider details
- NPI number
- 1487669305
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sung-Won Kim, Owner/Partner(360) 357-6314
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
128 Lilly Rd Ne Ste 101
Olympia, WA 98506-7400
Phone: (360) 634-4070
Fax: (360) 634-4071
Approximate (ZIP-level) locationGet directions
Mailing address
128 Lilly Rd Ne Ste 202
Olympia, WA 98506-5029
Other names (DBA / former)
- Doing business as
- Olympia Surgery Center
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.