Provider Demographics
NPI:1417013046
Name:WRIGHT, THOMAS JUNIOR (LCSW)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JUNIOR
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7218 NE SANDY BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-5700
Mailing Address - Country:US
Mailing Address - Phone:503-249-3926
Mailing Address - Fax:503-281-2099
Practice Address - Street 1:7218 NE SANDY BLVD STE 3
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-5700
Practice Address - Country:US
Practice Address - Phone:503-249-3926
Practice Address - Fax:503-281-2099
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL1038101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health