Provider Demographics
NPI:1700102639
Name:WRIGHT, THEODORE CHARLES (MD)
Entity type:Individual
Prefix:
First Name:THEODORE
Middle Name:CHARLES
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 DIPLOMACY DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5926
Mailing Address - Country:US
Mailing Address - Phone:206-696-9480
Mailing Address - Fax:
Practice Address - Street 1:2980 SQUALICUM PKWY STE 306
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1880
Practice Address - Country:US
Practice Address - Phone:360-788-8150
Practice Address - Fax:360-733-0119
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AKMEDS7910207R00000X, 207RI0200X
WAMD60293087207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine