SOUTH SOUND SURGICAL ASSOCIATES
NPI 1639261258
Surgery - Vascular Surgery in Olympia, WA

Q: What is South Sound Surgical Associates's NPI number?

The NPI number for South Sound Surgical Associates is 1639261258. It was assigned to this organization in the NPPES registry on September 29, 2006.

Q: What is South Sound Surgical Associates's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since September 29, 2006

3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502(360) 754-5858 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 1, 2023, Dec 19, 2022 (2 updates tracked since 2022).

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About South Sound Surgical Associates NPPES

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

SOUTH SOUND SURGICAL ASSOCIATES (NPI 1639261258) is a healthcare organization registered as a vascular surgery in Olympia, Washington and active in the NPI registry since September 2006. The organization lists David Fj Tollefson, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1639261258

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameSOUTH SOUND SURGICAL ASSOCIATES

Location Address3900 CAPITAL MALL DR SWOlympia, WA 98502-8654

Mailing Address5130 Pattison Lake Ln SeOlympia, WA 98513-6416 · (360) 280-6612

Phone(360) 754-5858

Organization SubpartNo

Authorized OfficialDavid Fj TollefsonManaging Partner · (360) 280-6612

Enumeration DateSeptember 29, 2006

Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1639261258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 601814468 (WA)

3900 CAPITAL MALL DR SW, Olympia, WA 98502

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Other Identifiers 2

Medicaid7085947WA

Other115566WA · Labor And Industries

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 20

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

DR. KIRSTEN ERICA REDBORG M.D.

Anesthesiology