Provider Demographics
NPI:1669749941
Name:WRIGHT, JAMES (CO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1994
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98507-1994
Mailing Address - Country:US
Mailing Address - Phone:360-956-3333
Mailing Address - Fax:360-956-3339
Practice Address - Street 1:2102 CARRIAGE ST SW
Practice Address - Street 2:BLDG E
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-1049
Practice Address - Country:US
Practice Address - Phone:360-956-3333
Practice Address - Fax:360-956-3339
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOI60238717222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist