Detroja, Harrison H

Detroja, Harrison H is an individual health care provider with primary practice located at 720 14Th Ave , Longview WA 98632-2315. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Detroja, Harrison H can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
720 14Th Ave Longview WA 98632-2315
Phone: (360) 423-0203
Fax: (360) 577-0187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60302056 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60302056 Washington

Profile Details

NPI number 1154670628
LBN Legal business name Detroja, Harrison H
Credentials MSN, ARNP, NP-C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Jan 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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