Healthcare Provider Details

I. General information

NPI: 1487237368
Provider Name (Legal Business Name): THADDEUS CHRISTIAN WRIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF WASHINGTON MEDICAL CENTER DEPT OF RADIOL
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

PO BOX 357115
SEATTLE WA
98195-7115
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-5130
  • Fax:
Mailing address:
  • Phone: 206-598-5130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT222400
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberMD70094979
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberLP05509
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: