Individual
PHYLLIS WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 NE GRAND AVE, PORTLAND, OR 97232-2968
(503) 232-1099
Mailing address
55 NE GRAND AVE, PORTLAND, OR 97232-2968
(503) 232-1099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
089007083RN
OR
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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