Organization · Type 2 NPI
Washington State Department of Corrections Washington Corrections Ce
Prison Health Clinic/Center · Gig Harbor, WA
NPI number
1114218591
Active
Practice location
9601 Bujacich Rd. NW
Gig Harbor, WA 98332-8300
Fax (253) 585-4258
Mailing address
PO Box 41100, Mail Stop 41100
Olympia, WA 98504-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | None listed |
Prison Health Clinic/Center: Definition to come...
About NPI 1114218591
Washington State Department of Corrections Washington Corrections Ce's National Provider Identifier is 1114218591, issued on Apr 20, 2011. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Gig Harbor, WA. The record was last updated on Sep 23, 2024.