Healthcare Provider Details

I. General information

NPI: 1295608842
Provider Name (Legal Business Name): SAND AND SEA HEALTH AND WELLNESS CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 SEALAWN BLVD
FREELAND WA
98249-9778
US

IV. Provider business mailing address

1320 SEALAWN BLVD
FREELAND WA
98249-9778
US

V. Phone/Fax

Practice location:
  • Phone: 877-355-6058
  • Fax: 360-849-2136
Mailing address:
  • Phone: 877-355-6058
  • Fax: 360-849-2136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBBY LOUISE LEFFLER
Title or Position: ARNP
Credential:
Phone: 877-355-6058