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NPI Code Detail

MEDICARE: CHRISTOPHER WRIGHT

MEDICARE:   CHRISTOPHER  WRIGHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1083251359
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER WRIGHT
Provider Business Mailing Address
First Line : 2051 KAEN RD
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4035
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2602 ARBOR DR
Second Line :
City : WEST LINN
State : OR
Zip : 97068-1104
Country : US
Telephone Number : 503-387-3884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2019
Last Update Date : 12/05/2019

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Directions to “ CHRISTOPHER WRIGHT ” Practice Location

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