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OLYMPIC WELLNESS PLLC
NPI 1861225724
Nurse Practitioner - Psychiatric/Mental Health in Lacey, WA

Active since August 24, 2024
4313 6TH AVE SE, SUITE C, ATTN: HARRISON DETROJA, LACEY, WA 98503(360) 217-9425(866) 522-6325 Get Directions Write a Review

NPPES record last updated: April 13, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Apr 13, 2025, Sep 2, 2024, Aug 24, 2024 (3 updates tracked since 2024).

About Olympic Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLYMPIC WELLNESS PLLC (NPI 1861225724) is a healthcare organization registered as a psychiatric/mental health in Lacey, Washington and active in the NPI registry since August 2024. The organization lists Harrison Detroja, Member, as its authorized official.

NPPES Registry Identity

NPI1861225724
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameOLYMPIC WELLNESS PLLC
Location Address4313 6TH AVE SE, SUITE C, ATTN: HARRISON DETROJALacey, WA 98503
Mailing Address4313 6th Ave Se Ste CLacey, WA 98503-1072 · (360) 217-9425 · Fax (866) 522-6325
Phone(360) 217-9425
Fax(866) 522-6325
Organization SubpartNo
Authorized OfficialHarrison DetrojaMember · (360) 217-9425
Enumeration DateAugust 24, 2024
Last NPPES UpdateApril 13, 20253 updates tracked since enumeration
NPPES CertifiedApril 13, 2025
✔ NPI 1861225724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4313 6TH AVE SE, SUITE C, Lacey, WA 98503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olympic Wellness PLLC's NPI number?

The NPI number for Olympic Wellness PLLC is 1861225724. It was assigned to this organization in the NPPES registry on August 24, 2024.

Where is Olympic Wellness PLLC located?

Olympic Wellness PLLC is located at 4313 6th Ave SE, Suite C Attn: Harrison Detroja, Lacey, WA 98503. The listed phone number is (360) 217-9425.

What is Olympic Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Olympic Wellness PLLC was last updated on April 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.