Organization · Type 2 NPI
Washington State Department of Corrections Olympic Corrections Center
Prison Health Clinic/Center · Forks, WA
NPI number
1194016576
Active
Practice location
11235 Hoh Mainline
Forks, WA 98331
Fax (360) 374-8238
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 1194016576
Washington State Department of Corrections Olympic Corrections Center's National Provider Identifier is 1194016576, issued on Apr 20, 2011. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Forks, WA. The record was last updated on Sep 23, 2024.