SOUTH SOUND VASECTOMY AND MEN'S HEALTH NPI 1528599685

NPI Information

  • NPI: 1528599685
  • Provider Name: SOUTH SOUND VASECTOMY AND MEN'S HEALTH
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 50D0902067
  • Address: 324 W BAY DR NW
    SUITE 105
    OLYMPIA, WA
    ZIP 98502
  • Phone: (360) 742-3562

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NPI Details

SOUTH SOUND VASECTOMY AND MEN'S HEALTH is a general practice in Olympia, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOUTH SOUND VASECTOMY AND MEN'S HEALTH NPI is 1528599685. The provider is registered as an organization entity type.

The provider's business location address is:

324 W BAY DR NW
SUITE 105
OLYMPIA, WA
ZIP 98502-926
Phone: (360) 742-3562
Fax: (360) 915-7925

The provider's authorized official is Timothy Neal Zola .
The authorized official title is Medical Director and has the following contact phone number (360) 742-3562.

The CLIA number assigned to this NPI record is 50D0902067 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2208D00000XGeneral PracticeMD60017650WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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