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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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