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Individual

MARY F WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-7327
(503) 418-6718
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-7327
(503) 418-6718

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201150151NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
R161856
OR
Enumeration date
11/08/2011
Last updated
08/23/2013
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