Mr Harrison H Detroja, MSN, ARNP, NP-C | |
720 14th Ave, Longview, WA 98632-2315 | |
(360) 423-0203 | |
(360) 577-0187 |
Full Name | Mr Harrison H Detroja |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 720 14th Ave, Longview, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154670628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP60302056 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP60302056 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbia Wellness | 2567358286 | 11 |
Entity Name | Columbia Wellness |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487659579 PECOS PAC ID: 2567358286 Enrollment ID: O20040227000406 |
Entity Name | Innovative Sleep Centers Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083925168 PECOS PAC ID: 6103010392 Enrollment ID: O20101102000134 |
Mailing Address | Practice Location Address |
---|---|
Mr Harrison H Detroja, MSN, ARNP, NP-C Po Box 1847, Longview, WA 98632-8140 Ph: (360) 423-0203 | Mr Harrison H Detroja, MSN, ARNP, NP-C 720 14th Ave, Longview, WA 98632-2315 Ph: (360) 423-0203 |
Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950 | |
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038 | |
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
Holly Wells, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2385 Fax: 360-414-2386 | |
Ms. Jan Carlin Khouri, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-703-6400 | |
Donna K Lynds, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Mr. David Jude Paris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086 |