WASHINGTON STATE DEPARTMENT OF CORRECTIONS- CEDAR CREEK CORRECTIONS CE is a prison health clinic center in Littlerock, WA. WASHINGTON STATE DEPARTMENT OF CORRECTIONS- CEDAR CREEK CORRECTIONS CE NPI is 1750672572. The provider is registered as an organization entity type.
The provider's business location address is:
12200 BORDEAUX ROAD LITTLEROCK, WA ZIP 98556-037 Phone: (360) 359-4100 Fax: (360) 664-3586
The provider's authorized official is Maryann Curl . The authorized official title is Chief Medical Officer and has the following contact phone number (509) 318-3498.
The CLIA number assigned to this NPI record is 50D0882775 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/27/2011 and was last updated on 9/23/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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