# OLYMPIC WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861225724
- **Authorized official:** MR. HARRISON DETROJA PMHNP-BC (MEMBER)
- **Authorized official phone:** (360) 217-9425

## Contact information

- **Practice address:** 4313 6TH AVE SE, SUITE C, ATTN: HARRISON DETROJA, LACEY, WA 98503
- **Practice address phone:** (360) 217-9425
- **Practice address fax:** (866) 522-6325
- **Mailing address:** 4313 6TH AVE SE STE C, LACEY, WA 98503-1072
- **Mailing address phone:** (360) 217-9425
- **Mailing address fax:** (866) 522-6325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2024
- **Last updated:** 04/13/2025