Provider Demographics
NPI:1619520129
Name:WRIGHT, AMY-JUNE MARIE SUMNER (THW,PSS,PWS)
Entity Type:Individual
Prefix:MRS
First Name:AMY-JUNE
Middle Name:MARIE SUMNER
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:THW,PSS,PWS
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:MARIE SUMNER
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PWS,PSS,THC
Mailing Address - Street 1:PO BOX 8459
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97207-8459
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:847 NE 19TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2684
Practice Address - Country:US
Practice Address - Phone:503-238-0769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker