Individual
DR. DAVID J WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-2175
Mailing address
PO BOX 806, CORVALLIS, OR 97339-0806
(541) 758-5047
(541) 758-3713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD07832
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034624
—
OR
01
—
MD07832
MEDICAL LICENSE
OR
01
—
R0000WDBBW
MEDICARE ID
OR
Enumeration date
11/18/2005
Last updated
12/04/2007
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