Most Relevant Information
Provider Data
| NPI Number: | 1003428095 |
| Provider Name: | MARIAH SHAUNIKA RAY WRIGHT CRM |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | 20-CRM-108 |
Most Important Dates
| Enumeration Date: | 08/20/2020 |
| Last Updated: | 08/20/2020 |
Provider Practice Location
715 SW DORION AVE
PENDLETON
OR
978012070
Practice Location Phone/Fax
| Phone: | 5414298800 |
| Fax: | 5414298822 |
Provider Mailing Location
PO BOX 882
PENDLETON
OR
978010882
Provider Mailing Phone/Fax
| Phone: | 5414298800 |
| Fax: | 5414298822 |