Individual
MR. GARY E WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
185 SW D ST STE D&E, MADRAS, OR 97741-1334
(541) 410-2752
Mailing address
185 SW D ST STE D&E, MADRAS, OR 97741-1334
(541) 306-2745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-11-22
OR
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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