Provider Demographics
NPI:1700411808
Name:WRIGHT, ASHLEY E
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 CHARNELTON ST APT 9
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3964
Mailing Address - Country:US
Mailing Address - Phone:541-543-7312
Mailing Address - Fax:
Practice Address - Street 1:1350 CHARNELTON ST APT 9
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3964
Practice Address - Country:US
Practice Address - Phone:541-543-7312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant