Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Harrison H Detroja, MSN, PMHNP-BC

Individual provider Nurse Practitioner · NPI 1154670628

Mr. Harrison H Detroja, MSN, PMHNP-BC is a Nurse Practitioner in Longview, Washington. Qualified in 2012, 14 years ago. Practices with Columbia Wellness, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
14
Licensed in
WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

720 14th Ave
Longview, WA 98632-2315
Phone: (360) 423-0203
Fax: (360) 577-0187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60302056 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60302056 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60302056 (WA)

Record details

NPI number1154670628
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 30, 2012
Last updated in NPPESNovember 16, 2024
Certification dateNovember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Columbia Wellness — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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