# WASHINGTON STATE DEPARTMENT OF CORRECTIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DOC HQ Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861813834
- **Authorized official:** MR. MARK ROBERT ELIASON MBA (DEPUTY ASSISTANT SECRETARY)
- **Authorized official phone:** (360) 485-1786

## Contact information

- **Practice address:** 7345 LINDERSON WAY SW, TUMWATER, WA 98501-6504
- **Practice address phone:** (360) 725-8700
- **Mailing address:** PO BOX 41100, MAIL STOP 41100, OLYMPIA, WA 98504-1100
- **Mailing address phone:** (360) 725-8213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2013
- **Last updated:** 12/04/2025