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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