Provider Demographics
NPI:1154037703
Name:MONROE WRIGHT, LAURA ALLOUETTE (CSWA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ALLOUETTE
Last Name:MONROE WRIGHT
Suffix:
Gender:F
Credentials:CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12150 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-2850
Mailing Address - Country:US
Mailing Address - Phone:503-504-1190
Mailing Address - Fax:
Practice Address - Street 1:12150 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2850
Practice Address - Country:US
Practice Address - Phone:503-530-8521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
ORA5524104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker