Individual provider Active NPI

Mariah Shaunika Ray Wright, CRM

  • Peer Specialist
  • Pendleton, OR
National Provider Identifier
1003428095
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
23-CRM-II-0144 Issued in OR
Practice address
715 SW Dorion Ave
Pendleton, OR 97801-2070
Phone
(541) 429-8800
Fax
(541) 429-8822
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 23-CRM-II-0144 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24-03-11044 OR

Addresses

Primary practice location

715 SW Dorion Ave
Pendleton, OR 97801-2070

Mailing address

PO Box 882
Pendleton, OR 97801-0882
Phone (541) 429-8800

Other identifiers 1

IdentifierTypeStateIssuer
20-CRM-180OtherORMHACBO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23-CRM-II-0144ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Washington Health Network Addiction (Substance Use Disorder) CurrentSince Aug 23, 2020 Accepting new patients
Oregon Washington Health Network- Centro Copes PastSince Aug 23, 2020 Accepting new patients

Locations

715 SW Dorion Ave
Pendleton, OR 97801
Phone (541) 429-8800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1003428095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010882",
            "telephone_number": "541-429-8800",
            "fax_number": "541-429-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW DORION AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012070",
            "telephone_number": "541-429-8800",
            "fax_number": "541-429-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MARIAH",
        "middle_name": "SHAUNIKA RAY",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "23-CRM-II-0144",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "24-03-11044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHACBO",
            "identifier": "20-CRM-180",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.