Active NPI
Craig Allen Wright
- Behavior Technician
- Portland, OR
National Provider Identifier
1891257275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- GB189785B
- Practice address
- 9115 SW Oleson Rd
Portland, OR 97223-6875 - Phone
- (971) 236-0915
- NPI assigned
- Apr 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | GB189785B | ID | Primary |
Addresses
Primary practice location
9115 SW Oleson Rd
Portland, OR 97223-6875
Mailing address
430 SE Bridgeway Ave
Corvallis, OR 97333-1234
Phone (208) 201-8908
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
| License | State | Type | Specialty |
|---|---|---|---|
| GB189785B | ID | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1891257275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 SE BRIDGEWAY AVE",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973331234",
"telephone_number": "208-201-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9115 SW OLESON RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972236875",
"telephone_number": "971-236-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "CRAIG",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "ID",
"license": "GB189785B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.