Organization · Type 2 NPI
Washington State Department of Corrections-Washington State Penitentia
Prison Health Clinic/Center · Walla Walla, WA
NPI number
1164713558
Active
Practice location
1313 North 13th Avenue
Walla Walla, WA 99362-8817
Fax (509) 526-6406
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...
Other prison health clinic/center providers in Walla Walla
About NPI 1164713558
Washington State Department of Corrections-Washington State Penitentia's National Provider Identifier is 1164713558, issued on Apr 20, 2011. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Walla Walla, WA. The record was last updated on Sep 23, 2024.