Individual
TATYANA M WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
870 S FRONT ST, SUITE 200, CENTRAL POINT, OR 97502-2779
(541) 664-3346
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 664-3346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
REF#153868
OR
363AM0700X
Medical Physician Assistant
C0003088
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500639201
—
OR
Enumeration date
10/06/2006
Last updated
06/04/2014
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