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NPI Code Detail

MEDICARE: LAURIE WRIGHT

MEDICARE:   LAURIE  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
1261QM0850XAdult Mental Health Clinic/CenterCP61356979WA
2261QM0855XAdolescent and Children Mental Health Clinic/CenterCP61356979WA
3261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)CP61356979WA
4320800000XMental Illness Community Based Residential Treatment FacilityCP61356979WA
5276400000XSubstance Use Disorder Rehabilitation Hospital UnitCP61356979
6261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)CP61356979WA
7171400000XHealth & Wellness CoachCP61356979
8251B00000XCase Management AgencyCP61356979WA
9251S00000XCommunity/Behavioral Health AgencyCP61356979
10101YA0400XAddiction (Substance Use Disorder) CounselorCP61356979

General Provider Information

NPI Number : 1225678998
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE WRIGHT
Provider Business Mailing Address
First Line : 1601 E 4TH PLAIN BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98661-3713
Country : US
Telephone Number : 824-636-0397
Fax Number :
Provider Business Practice Location Address
First Line : 1601 E 4TH PLAIN BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98661-3713
Country : US
Telephone Number : 824-636-0397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2020
Last Update Date : 11/02/2023

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Directions to “ LAURIE WRIGHT ” Practice Location

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