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Matthew Wright
Student in an Organized Health Care Education/Training Program in Star, Idaho
NPI 1568946648

Matthew Wright is a Student in an Organized Health Care Education/Training Program based in Tukwila, ID. Matthew Wright practices in Star, ID. The NPI Number for Matthew Wright is 1568946648 and holds a License No. LH61340253 (Idaho).

The current practice location address for Matthew Wright is 2121 N Garnet Creek Ave, Star, ID and can be reached out via phone at 208-740-0544 and via fax at 208-906-8680.

Location: 2121 N Garnet Creek Ave, Star, ID, 98188-2547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568946648
Provider Name
Matthew Wright
Credential
Provider Entity Type
Individual
Gender
Male
Address
2121 N Garnet Creek Ave, Star, ID, 98188-2547
Phone Number
208-740-0544
Fax Number
208-906-8680
Provider Enumeration Date
09/24/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2121 N Garnet Creek Ave
City
Star
State
Idaho
Zip
83669-8001
Phone Number
208-740-0544
Fax Number
208-906-8680
person
Provider Business Mailing Address Details
Address
2121 N Garnet Creek Ave
City
Star
State
Idaho
Zip
83669-8001
Phone Number
208-740-0544
Fax Number
208-906-8680
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
LH61340253 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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