Individual
DEREK JUSTIN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12026 53RD AVE SE, EVERETT, WA 98208-9200
(425) 971-1262
Mailing address
12026 53RD AVE SE, EVERETT, WA 98208-9200
(425) 971-1262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61277081
WA
Other
Enumeration date
06/25/2024
Last updated
04/06/2026
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