Organization · Type 2 NPI
Washington State Department of Corrections Clallam Bay Corrections Cen
Prison Health Clinic/Center · Clallam Bay, WA
NPI number
1902197387
Active
Practice location
1830 Eagle Crest Way
Clallam Bay, WA 98326
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...
3 other providers at this address
About NPI 1902197387
Washington State Department of Corrections Clallam Bay Corrections Cen's National Provider Identifier is 1902197387, issued on Apr 20, 2011. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Clallam Bay, WA. The record was last updated on Sep 23, 2024.