Individual
CRAIG ALLEN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9115 SW OLESON RD, PORTLAND, OR 97223-6875
(971) 236-0915
Mailing address
430 SE BRIDGEWAY AVE, CORVALLIS, OR 97333-1234
(208) 201-8908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
GB189785B
ID
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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