IndividualActive
Jeremiah Wright, AGACNP-BC
NPI 1184921157 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1184921157
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- NP56556 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9205 Sw Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-2906
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Additional practice locations (1)
- 2003 Kootenai Health WayCoeur D Alene, ID 83814-6051Phone: (208) 625-5085Fax: (208) 625-5731
Registry dates
- Enumerated
- 2011-02-27
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.