| Brightspire Health, Llc | |
|
9670 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-3307 | |
| (503) 250-4299 | |
| Not Available |
| Full Name | Brightspire Health, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Medicare PECOS PAC ID | 2163866419 |
|---|---|
| Medicare Enrollment ID | O20240215000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518656776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathryn M Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588728927 PECOS PAC ID: 0840353207 Enrollment ID: I20090112000075 |
| Provider Name | Nicole Renee Lind Gulick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467848036 PECOS PAC ID: 6901240100 Enrollment ID: I20240215002175 |
| Provider Name | Arwen Lael Huffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306622535 PECOS PAC ID: 6608210802 Enrollment ID: I20240215002267 |
| Provider Name | Emily A Keith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689282113 PECOS PAC ID: 2668816877 Enrollment ID: I20240215002430 |
| Provider Name | Heather A. Keizur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851746796 PECOS PAC ID: 4688018898 Enrollment ID: I20240215002719 |
| Provider Name | Kathleen Suzanne Leavitt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235493743 PECOS PAC ID: 5395189385 Enrollment ID: I20240217000688 |
| Provider Name | Kristi Lynn Check |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093229627 PECOS PAC ID: 9537505573 Enrollment ID: I20240312003242 |
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