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SOUTH SOUND CLINIC
NPI 1871729491
Clinic/Center - Methadone in Olympia, WA

Active since June 10, 2009
6700 MARTIN WAY E STE 117, OLYMPIA, WA 98516(360) 413-6910(360) 413-9026 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South Sound Clinic NPPES

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

SOUTH SOUND CLINIC (NPI 1871729491) is a healthcare organization registered as a methadone in Olympia, Washington and active in the NPI registry since June 2009. The organization lists Margaret Carney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1871729491
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameEVERGREEN TREATMENT SERVICES
Location Address6700 MARTIN WAY E STE 117Olympia, WA 98516-5586
Mailing Address6700 Martin Way E Ste 117Olympia, WA 98516-5586 · (360) 413-6910 · Fax (360) 413-9026
Phone(360) 413-6910
Fax(360) 413-9026
Organization SubpartNo
Authorized OfficialMargaret CarneyExecutive Director · (206) 223-3644
Enumeration DateJune 10, 2009
Last NPPES UpdateApril 11, 2017
✔ NPI 1871729491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in WA · 34111900
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

6700 MARTIN WAY E STE 117, Olympia, WA 98516
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Other Names 1

Doing Business AsSouth Sound Clinic

Other Identifiers 2

Medicaid1995927WA
Medicaid8008203WA

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.

TIFFANY P WOELFEL
Social Worker (Clinical)
6700 MARTIN WAY E STE 117
OLYMPIA, WA 98516
Thurston County (360) 413-6910
MR. BRANDON A THOMAS
Technician
6700 MARTIN WAY E STE 117
OLYMPIA, WA 98516
Thurston County (360) 413-6910
STEFFI MIESHA JOHNSON
Registered Nurse
6700 MARTIN WAY E STE 117
OLYMPIA, WA 98516
Thurston County (206) 971-8830
CIERA MICHELLE AUZENNE
Technician
6700 MARTIN WAY E STE 117
OLYMPIA, WA 98516
Thurston County (360) 413-6910
KOREY BARRIO
Technician
6700 MARTIN WAY E STE 117
OLYMPIA, WA 98516
Thurston County (360) 413-6910
JASMINE KAY BARTLEY SUDPT
Counselor (Addiction (Substance Use Disorder))
6700 MARTIN WAY E STE 117
OLYMPIA, WA 98516
Thurston County (360) 413-6910
DENNIS KISH JR.
Student in an Organized Health Care Education/Training Program
6700 MARTIN WAY E STE 117
OLYMPIA, WA 98516
Thurston County (360) 413-6910
RITA EVA ADELINA HOTCHKISS PEER COUNSELOR
Counselor (Addiction (Substance Use Disorder))
6700 MARTIN WAY E STE 117
OLYMPIA, WA 98516
Thurston County (360) 413-6910

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 Evergreen Treatment Services's NPI number?

The NPI number for Evergreen Treatment Services is 1871729491. It was assigned to this organization in the NPPES registry on June 10, 2009. The provider is doing business as South Sound Clinic.

Where is Evergreen Treatment Services located?

Evergreen Treatment Services is located at 6700 Martin Way E Ste 117, Olympia, WA 98516. The listed phone number is (360) 413-6910.

What is Evergreen Treatment Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Evergreen Treatment Services was last updated on April 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.