MEDICARE: JAMES WRIGHT CO

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
1	222Z00000X	Orthotist	OI60238717	WA

General Provider Information

NPI Number	:	1669749941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES WRIGHT CO

Provider Business Mailing Address
First Line	:	PO BOX 1994
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98507-1994
Country	:	US
Telephone Number	:	360-956-3333
Fax Number	:	360-956-3339

Provider Business Practice Location Address
First Line	:	2102 CARRIAGE ST SW
Second Line	:	BLDG E
City	:	OLYMPIA
State	:	WA
Zip	:	98502-1049
Country	:	US
Telephone Number	:	360-956-3333
Fax Number	:	360-956-3339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2011
Last Update Date	:	11/30/2011

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Directions to “ JAMES WRIGHT CO” Practice Location

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