Organization
OLYMPIC WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRISON DETROJA PMHNP-BC (MEMBER)
(360) 217-9425
Entity
Organization
Contact information
Practice address
4313 6TH AVE SE, SUITE C, ATTN: HARRISON DETROJA, LACEY, WA 98503
(360) 217-9425
(866) 522-6325
Mailing address
4313 6TH AVE SE STE C, LACEY, WA 98503-1072
(360) 217-9425
(866) 522-6325
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2024
Last updated
04/13/2025
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