Individual provider · Type 1 NPI
Harrison H. Detroja, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Longview, WA
NPI number
1154670628
Active
Practice location
720 14th Ave
Longview, WA 98632-2315
Fax (360) 577-0187
Mailing address
4313 6th Ave SE Ste C
Lacey, WA 98503-1072
Other practice locations
- 4313 6th Ave SE Ste C, Lacey, WA 98503-1072 · (360) 217-9425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP60302056 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1154670628
Harrison H. Detroja, PMHNP-BC's National Provider Identifier is 1154670628, issued on Aug 30, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Longview, WA. The record was last updated on Nov 2, 2026.