| Bright Path Cmh | |
|
39 Se Court Ave Ste 202 Pendleton OR 97801-2228 | |
| (541) 862-4357 | |
| Not Available |
| Full Name | Bright Path Cmh |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 39 Se Court Ave Ste 202, Pendleton, Oregon |
| Authorized Official Name and Position | Paul M Emmons (ADMINISTRATOR) |
| Authorized Official Contact | 5412465902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Path Cmh Po Box 1867 Pendleton OR 97801-0930 Ph: (541) 862-4357 | Bright Path Cmh 39 Se Court Ave Ste 202 Pendleton OR 97801-2228 Ph: (541) 862-4357 |
| NPI Number | 1396592663 |
|---|---|
| Provider Enumeration Date | 05/03/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396592663 | NPI | - | NPPES |
| 14675052 | Other | CAQH PROVIDER | |
| 1962183293 | Medicaid | OR | |
| 1194349472 | Medicaid | IN | |
| 1497410856 | Medicaid | OR |
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