Organization
JAGGER & CREW INTERNATIONAL LLC
Active
Other names
Mission Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIN COLVIN (OWNER)
(971) 571-5012
Entity
Organization
Contact information
Practice address
1975 NW 167TH PL STE 100-11, BEAVERTON, OR 97006-4908
(971) 571-5012
(971) 233-6448
Mailing address
1166 E WARNER RD STE 101, GILBERT, AZ 85296-3065
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
10/18/2024
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