Provider Demographics
NPI:1760441521
Name:WRIGHT, CYNTHIA ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANNE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 E HERSEY ST
Mailing Address - Street 2:# 2A
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1363
Mailing Address - Country:US
Mailing Address - Phone:541-482-3492
Mailing Address - Fax:541-482-4203
Practice Address - Street 1:108 E HERSEY ST
Practice Address - Street 2:# 2A
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1363
Practice Address - Country:US
Practice Address - Phone:541-482-3492
Practice Address - Fax:541-482-4203
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0-76336Medicaid
OR0-76336Medicaid
OR00000QGHBTMedicare ID - Type Unspecified