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WEST OLYMPIA FAMILY MEDICINE INC, PC
NPI 1225257363
Family Medicine in Olympia, WA

Active since April 25, 2007
402 BLACK HILLS LN SW STE B, OLYMPIA, WA 98502(360) 754-4837(360) 754-7304 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About West Olympia Family Medicine Inc, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST OLYMPIA FAMILY MEDICINE INC, PC (NPI 1225257363) is a healthcare organization registered as a family medicine in Olympia, Washington and active in the NPI registry since April 2007. The organization lists Matthew T. Wellock, Owner, as its authorized official.

NPPES Registry Identity

NPI1225257363
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWEST OLYMPIA FAMILY MEDICINE INC, PC
Location Address402 BLACK HILLS LN SW STE BOlympia, WA 98502-8146
Mailing Address1401 Marvin Rd Ne Ste 307 Pmb 266Lacey, WA 98516-5710 · (360) 491-5055 · Fax (360) 491-5890
Phone(360) 754-4837
Fax(360) 754-7304
Organization SubpartNo
Authorized OfficialMatthew T. WellockOwner · (360) 754-4837
Enumeration DateApril 25, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1225257363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00045733
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
402 BLACK HILLS LN SW STE B, Olympia, WA 98502
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Other Identifiers 2

Medicaid1124098WA
Medicare PING8868890WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEGACY CARE HOSPICE LLC
Hospice Care, Community Based
402 BLACK HILLS LN SW STE B
OLYMPIA, WA 98502
Thurston County (360) 968-5550
DR. RANDY L BUCKNER D.O.
Family Medicine
402 BLACK HILLS LN SW STE B
OLYMPIA, WA 98502
Thurston County (360) 754-4837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Olympia Family Medicine Inc, PC's NPI number?

The NPI number for West Olympia Family Medicine Inc, PC is 1225257363. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is West Olympia Family Medicine Inc, PC located?

West Olympia Family Medicine Inc, PC is located at 402 Black Hills Ln SW Ste B, Olympia, WA 98502. The listed phone number is (360) 754-4837.

What is West Olympia Family Medicine Inc, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for West Olympia Family Medicine Inc, PC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.