Provider Demographics
NPI:1558898379
Name:WRIGHT, PATRICIA C (MAC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:C
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1718
Mailing Address - Street 2:
Mailing Address - City:HOODSPORT
Mailing Address - State:WA
Mailing Address - Zip Code:98548-1718
Mailing Address - Country:US
Mailing Address - Phone:360-545-2232
Mailing Address - Fax:
Practice Address - Street 1:70 N BASS PL
Practice Address - Street 2:
Practice Address - City:HOODSPORT
Practice Address - State:WA
Practice Address - Zip Code:98548-9517
Practice Address - Country:US
Practice Address - Phone:360-545-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health