Organization
KING COUNTY CORRECTIONAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA T TA (RPH)
(206) 296-1035
Entity
Organization
Contact information
Practice address
500 JAMES ST, SEATTLE, WA 98105-4225
(206) 296-1035
Mailing address
2118 N 189TH ST, SHORELINE, WA 98133-4225
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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