Provider Demographics
NPI:1558587766
Name:WRIGHT, CHERYL LEANN (NP, L AC, PHD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:LEANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:NP, L AC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 BREN RD E
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9664
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9512 NE SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-4340
Practice Address - Country:US
Practice Address - Phone:503-255-6402
Practice Address - Fax:503-255-6402
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC140942171100000X
OR200950058NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171100000XOther Service ProvidersAcupuncturist