Individual
KELLY SHERIDAN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8332 SE 13TH AVE, PORTLAND, OR 97202-7102
(503) 595-9300
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 359-5564
(503) 357-4371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD167227
OR
207R00000X
Internal Medicine Physician
MD19283
ME
Other
Enumeration date
06/18/2009
Last updated
05/24/2019
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