Active NPI
Olympic Surgical Associates
- Registered Nurse
- Port Orchard, WA
National Provider Identifier
1568585693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- AP30006085
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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 DirectoryLocations
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.