Organization Active NPI

Olympic Surgical Associates

  • Registered Nurse
  • Port Orchard, WA
National Provider Identifier
1568585693
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
AP30006085 Issued in WA
Legal business name
OLYMPIC SURGICAL ASSOCIATES
Practice address
450 S Kitsap Blvd
Ste. 2220
Port Orchard, WA 98366-3773
Phone
(360) 895-0588
Fax
(360) 895-9343
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nancy E Boyden, ARNP
Title
Partner
Phone
(360) 895-0588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X AP30006085 WA Primary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DE00009045 WA

Addresses

Primary practice location

450 S Kitsap Blvd
Ste. 2220
Port Orchard, WA 98366-3773

Mailing address

450 S Kitsap Blvd
Ste. 2220
Port Orchard, WA 98366-3773
Phone (360) 895-0588

National Provider Directory

National Provider Directory

Locations

450 S Kitsap Blvd
Ste 2220
Port Orchard, WA 98366
Phone (360) 895-0588

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568585693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S KITSAP BLVD",
            "address_2": "STE. 2220",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663773",
            "telephone_number": "360-895-0588",
            "fax_number": "360-895-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S KITSAP BLVD",
            "address_2": "STE. 2220",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663773",
            "telephone_number": "360-895-0588",
            "fax_number": "360-895-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BOYDEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "360-895-0588",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "AP30006085",
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00009045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.