Organization · Type 2 NPI
Washington State Department of Corrections- Cedar Creek Corrections Ce
Prison Health Clinic/Center · Littlerock, WA
NPI number
1750672572
Active
Practice location
12200 Bordeaux Road
Littlerock, WA 98556-0037
Fax (360) 664-3586
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...
Another provider at this address
About NPI 1750672572
Washington State Department of Corrections- Cedar Creek Corrections Ce's National Provider Identifier is 1750672572, issued on Apr 27, 2011. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Littlerock, WA. The record was last updated on Sep 23, 2024.