Organization · Type 2 NPI
Washington State Department of Corrections Washington Corrections Cent
Prison Health Clinic/Center · Shelton, WA
NPI number
1447541834
Active
Practice location
2321 West Dayton Airport Road
Shelton, WA 98584
Fax (360) 432-5928
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 1447541834
Washington State Department of Corrections Washington Corrections Cent's National Provider Identifier is 1447541834, issued on Apr 20, 2011. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Shelton, WA. The record was last updated on Sep 23, 2024.