| NPI | 1003659590 |
|---|---|
| Doing Business As | MISSION PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | DERIN COLVIN Owner 971-571-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-10-18 |