institution
Washington State Department Of Corrections- Cedar Creek Corrections Ce
Prison Health Clinic/Center in Littlerock, Washington
NPI 1750672572

Washington State Department Of Corrections- Cedar Creek Corrections Ce is a Prison Health Clinic/Center based in Olympia, WA and is specialized in Prison Health. Washington State Department Of Corrections- Cedar Creek Corrections Ce practices in Littlerock, WA. The NPI Number for Washington State Department Of Corrections- Cedar Creek Corrections Ce is 1750672572 and holds a License No. (Washington).

The current practice location address for Washington State Department Of Corrections- Cedar Creek Corrections Ce is 12200 Bordeaux Road, Littlerock, WA and can be reached out via phone at 360-359-4100 and via fax at 360-664-3586.

Location: 12200 Bordeaux Road, Littlerock, WA, 98504-1100
institution
Provider Profile Details
NPI Number
1750672572
Provider Name
Washington State Department Of Corrections- Cedar Creek Corrections Ce
Credential
Provider Entity Type
Organization
Address
12200 Bordeaux Road, Littlerock, WA, 98504-1100
Phone Number
360-359-4100
Fax Number
360-664-3586
Provider Enumeration Date
04/27/2011
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
12200 Bordeaux Road
City
State
Zip
98556-0037
Phone Number
360-359-4100
Fax Number
360-664-3586
person
Provider Business Mailing Address Details
Address
12200 Bordeaux Road
City
State
Zip
98556-0037
Phone Number
360-359-4100
Fax Number
360-664-3586
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Prison Health
Taxonomy
License No.
()
Definition
Definition to come...
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