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Organization
WASHINGTON STATE DEPARTMENT OF CORRECTIONS
Active
Organization
WASHINGTON STATE DEPARTMENT OF CORRECTIONS
Active
Other names
DOC HQ Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ROBERT ELIASON MBA (DEPUTY ASSISTANT SECRETARY)
(360) 485-1786
Entity
Organization
Contact information
Practice address
7345 LINDERSON WAY SW, TUMWATER, WA 98501-6504
(360) 725-8700
Mailing address
PO BOX 41100, MAIL STOP 41100, OLYMPIA, WA 98504-1100
(360) 725-8213
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
12/04/2025
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