Provider Demographics
NPI:1811053523
Name:WRIGHT, DONALD J (CADC, NBCC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:J
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:CADC, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 WILLAMETTE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4544
Mailing Address - Country:US
Mailing Address - Phone:503-320-9190
Mailing Address - Fax:503-536-6572
Practice Address - Street 1:1609 WILLAMETTE FALLS DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4544
Practice Address - Country:US
Practice Address - Phone:503-320-9190
Practice Address - Fax:503-536-6572
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1972101YM0800X, 101YP2500X, 101Y00000X
OR07-09-72U3101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor