Stafford Creek Correction Center

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

STAFFORD CREEK CORRECTION CENTER

Practice address

191 Constantine Way
Aberdeen, WA 98520-9504

Phone

(360) 537-2167

Fax

(360) 537-2075

NPI assigned

Jun 15, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc F. Stern, M.D.

Title

Director, Health Services Doc

Phone

(360) 725-8700

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1952506420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 CONSTANTINE WAY",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985209504",
            "telephone_number": "360-537-2167",
            "fax_number": "360-537-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 CONSTANTINE WAY",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985209504",
            "telephone_number": "360-537-2167",
            "fax_number": "360-537-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD CREEK CORRECTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR, HEALTH SERVICES DOC",
        "authorized_official_telephone_number": "360-725-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeanette R Spreadborough, ARNP
• Katie Marie Stamwitz, DC
• Cathi Lovetta Stankavich, P.T.A.
• Matthew Starr
• Janis Lynn Steele, RN
• Sharalyn Steenson, MS

• Custodial Care Facility in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Custodial Care Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.