Provider Demographics
NPI:1164892261
Name:WRIGHT, LEAH
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:MILNE-WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:QMHP
Mailing Address - Street 1:1115 SE 164TH AVENUE
Mailing Address - Street 2:DEPT 358
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98863
Mailing Address - Country:US
Mailing Address - Phone:360-729-1459
Mailing Address - Fax:
Practice Address - Street 1:945 MARQUET WAY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5349
Practice Address - Country:US
Practice Address - Phone:541-228-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health