Brightspire Health, Llc | |
9670 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-3307 | |
(503) 250-4299 | |
Not Available |
Full Name | Brightspire Health, Llc |
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Speciality | Clinic/Center |
Location | 9670 Sw Beaverton Hillsdale Hwy, Beaverton, Oregon |
Authorized Official Name and Position | Kathryn Schaefer (CO-OWNER) |
Authorized Official Contact | 5032504299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brightspire Health, Llc 9670 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-3307 Ph: (503) 250-4299 | Brightspire Health, Llc 9670 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-3307 Ph: (503) 250-4299 |
NPI Number | 1518656776 |
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Provider Enumeration Date | 05/03/2023 |
Last Update Date | 10/17/2023 |
Certification Date | 10/17/2023 |
Medicare PECOS PAC ID | 2163866419 |
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Medicare Enrollment ID | O20240215000298 |
Identifier | Type | State | Issuer |
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1518656776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Kathryn M Schaefer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588728927 PECOS PAC ID: 0840353207 Enrollment ID: I20090112000075 |
Provider Name | Heather R Whitney |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962946020 PECOS PAC ID: 2668754987 Enrollment ID: I20170123000753 |
Provider Name | Nicole Renee Lind Gulick |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1467848036 PECOS PAC ID: 6901240100 Enrollment ID: I20240215002175 |
Provider Name | Arwen Lael Huffman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306622535 PECOS PAC ID: 6608210802 Enrollment ID: I20240215002267 |
Provider Name | Emily A Keith |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689282113 PECOS PAC ID: 2668816877 Enrollment ID: I20240215002430 |
Provider Name | Heather A. Keizur |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1851746796 PECOS PAC ID: 4688018898 Enrollment ID: I20240215002719 |
Provider Name | Kathleen Suzanne Leavitt |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1235493743 PECOS PAC ID: 5395189385 Enrollment ID: I20240217000688 |
Provider Name | Kristi Lynn Check |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093229627 PECOS PAC ID: 9537505573 Enrollment ID: I20240312003242 |
Provider Name | Jennifer Lynn Pitt |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1013257542 PECOS PAC ID: 0941647200 Enrollment ID: I20240321002919 |
Provider Name | Michal Sierra Moore |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417492851 PECOS PAC ID: 2062851009 Enrollment ID: I20240423003483 |
Provider Name | Heidi Alsop |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689123572 PECOS PAC ID: 1355883216 Enrollment ID: I20240606001569 |
Provider Name | Amy Hutchins |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477950020 PECOS PAC ID: 5092098004 Enrollment ID: I20240607001184 |
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