Healthcare Provider Details

I. General information

NPI: 1316287048
Provider Name (Legal Business Name): ANNE ELIZABETH WRIGHT C.P.M
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2013
Last Update Date: 02/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 DONALD ST STE 230
EUGENE OR
97405-4759
US

IV. Provider business mailing address

11 N RIVER DR
ROSEBURG OR
97470-9473
US

V. Phone/Fax

Practice location:
  • Phone: 541-999-7830
  • Fax:
Mailing address:
  • Phone: 541-999-7830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: