Provider Demographics
NPI:1881097061
Name:WRIGHT, KIRSTEN MARGARET (ND)
Entity type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:MARGARET
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14535 WESTLAKE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-7775
Mailing Address - Country:US
Mailing Address - Phone:503-746-5889
Mailing Address - Fax:503-746-5944
Practice Address - Street 1:14535 WESTLAKE DR
Practice Address - Street 2:SUITE B
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-7775
Practice Address - Country:US
Practice Address - Phone:503-746-5889
Practice Address - Fax:503-746-5944
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2040175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath