Wright, Kelli Gentry

Wright, Kelli Gentry is an individual health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wright, Kelli Gentry can be contacted via phone (541) 523-7400.

Contact Information

Primary practice address
3425 13Th St Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L6031 Oregon

Profile Details

NPI number 1407090822
LBN Legal business name Wright, Kelli Gentry
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Jun 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407090822 NPPES
Oregon Other 4490398 DRIVERS LICENSE
Oregon MEDICAID 500699801 DRIVERS LICENSE
Oregon MEDICAID 014274 DRIVERS LICENSE

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