Provider Demographics
NPI:1235172347
Name:WRIGHT, GINGER LEE (ANP)
Entity Type:Individual
Prefix:MS
First Name:GINGER
Middle Name:LEE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12715 SE FLAVEL ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-5413
Mailing Address - Country:US
Mailing Address - Phone:503-761-4756
Mailing Address - Fax:
Practice Address - Street 1:12715 SE FLAVEL ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-5413
Practice Address - Country:US
Practice Address - Phone:503-761-4756
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000023344N3ANP-PP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health