Active NPIIndividual provider

Derin Colvin

Nurse Practitioner, Psych/Mental Health in Beaverton, Oregon

NPI Number1346989944
Practice location
1975 NW 167TH Pl Ste 100-11, Beaverton, OR 97006-4908
Fax
971-233-6448
Last updated
October 18, 2024

Derin Colvin is a Nurse Practitioner, Psych/Mental Health based in Beaverton, OR. The NPI number for Derin Colvin is 1346989944 and holds license No. 231751 (AZ). The current practice location address is 1975 NW 167TH Pl Ste 100-11, Beaverton, OR 97006-4908 and the office can be reached by phone at 971-571-5012 and by fax at 971-233-6448. The NPI was assigned on June 1, 2022 and the record was last updated in NPPES on October 18, 2024.

●Provider Profile Details

NPI Number
1346989944
Provider Name
Derin Colvin
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Enumeration Date
June 1, 2022
Last Update Date
October 18, 2024
Certification Date
October 18, 2024
NPI Status
Active

◉Business Practice Location Address

Address
1975 NW 167TH Pl Ste 100-11
Beaverton, OR 97006-4908
State
Oregon
ZIP
97006-4908
Country
US
Phone Number
971-571-5012
Fax Number
971-233-6448

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✉Business Mailing Address

Address
9400 SW Beaverton Hillsdale Hwy Ste 250
Beaverton, OR 97005-3300
City
Beaverton
State
OR
ZIP
97005-3300

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Psych/Mental Health363LP0808XNo231751AZ
Nurse Practitioner, Psych/Mental Health363LP0808XYes10020433OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Derin Colvin?

The NPI number of Derin Colvin is 1346989944. It was assigned on June 1, 2022 and is currently active in the NPPES registry.

What is the specialty of Derin Colvin?

Derin Colvin is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X) and holds license No. 231751 (AZ).

Where does Derin Colvin practice?

The practice location is 1975 NW 167TH Pl Ste 100-11, Beaverton, OR 97006-4908. The office can be reached at 971-571-5012 (phone) or 971-233-6448 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346989944 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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