Individual
DERIN COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1975 NW 167TH PL STE 100-11, BEAVERTON, OR 97006-4908
(971) 571-5012
(971) 233-6448
Mailing address
9400 SW BEAVERTON HILLSDALE HWY STE 250, BEAVERTON, OR 97005-3300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10020433
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
231751
AZ
Other
Enumeration date
06/01/2022
Last updated
10/18/2024
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