Individual
RANDALL DAVID WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1827 NE 44TH AVE STE 320, PORTLAND, OR 97213-1443
(503) 477-4969
(503) 477-7790
Mailing address
5305 RIVER RD N STE B, KEIZER, OR 97303-5324
(510) 882-1046
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
3187
OR
Other
Enumeration date
06/01/2016
Last updated
02/18/2020
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