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Individual

DEREK GREENWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
310 S ROOSEVELT ST, GOLDENDALE, WA 98620-9201
(509) 773-4022
Mailing address
630 HARMS RD, CENTERVILLE, WA 98613-2715
(831) 512-2858

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
163W00000X
Registered Nurse
201905656RN
OR
163W00000X
Registered Nurse
60666998
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP-70008596
WA

Other

Enumeration date
06/08/2023
Last updated
08/27/2025
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