Bright Mind Llc | |
151 Sw Shevlin Hixon Dr Bend OR 97702-3209 | |
(541) 717-3033 | |
Not Available |
Full Name | Bright Mind Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 151 Sw Shevlin Hixon Dr, Bend, Oregon |
Authorized Official Name and Position | Amy Kreutzer Erber (NURSE PRACTITIONER OWNER, PRESIDENT) |
Authorized Official Contact | 5417173033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bright Mind Llc 121 Nw Bond St Bend OR 97703-3207 Ph: (206) 225-8780 | Bright Mind Llc 151 Sw Shevlin Hixon Dr Bend OR 97702-3209 Ph: (541) 717-3033 |
NPI Number | 1588200091 |
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Provider Enumeration Date | 11/19/2019 |
Last Update Date | 11/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588200091 | NPI | - | NPPES |
1235449463 | Other | OR | NPI- TODD BOIRE |
1558689836 | Other | WA | NPI - AMY ERBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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