Healthcare Provider Details

I. General information

NPI: 1699493452
Provider Name (Legal Business Name): NAOMI MEADOR WRIGHT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2022
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 N WILLIAMS AVE
PORTLAND OR
97227-1441
US

IV. Provider business mailing address

3700 N WILLIAMS AVE
PORTLAND OR
97227-1441
US

V. Phone/Fax

Practice location:
  • Phone: 503-281-4852
  • Fax:
Mailing address:
  • Phone: 503-346-0640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: