Derek Greul, CO60912368

NPI 1336603695 · on the registry since 2019

Practice

Address: 825 E 5th St
Port Angeles, WA 98362
Phone: (360) 477-4790
Fax: (360) 477-4802
Organisation at this address: Specialty Services 2 Llc
Specialty Services Iii, Inc.
American Behavioral Health Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington