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Organization
STAFFORD CREEK CORRECTION CENTER
Active
Organization
STAFFORD CREEK CORRECTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC F. STERN M.D. (DIRECTOR, HEALTH SERVICES DOC)
(360) 725-8700
Entity
Organization
Contact information
Practice address
191 CONSTANTINE WAY, ABERDEEN, WA 98520-9504
(360) 537-2167
(360) 537-2075
Mailing address
191 CONSTANTINE WAY, ABERDEEN, WA 98520-9504
(360) 537-2167
(360) 537-2075
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
06/15/2007
Last updated
09/11/2025
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