Individual
DR. KEVIN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 E. 4TH STREET, PHOENIX, OR 97535
(707) 570-9111
Mailing address
105 E. 4TH STREET, PHOENIX, OR 97535
(707) 570-9111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD192149
OR
207ND0101X
MOHS-Micrographic Surgery Physician
MD192149
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500768882
—
OR
Enumeration date
07/29/2011
Last updated
07/22/2026
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