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Organization
BRIGHTSIDE HEALTH COLLABORATIVE
Active
Organization
BRIGHTSIDE HEALTH COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KEARNS (OWNER)
(609) 477-9192
Entity
Organization
Contact information
Practice address
4004 SE WOODSTOCK BLVD, PORTLAND, OR 97202-7662
(503) 777-0444
(503) 777-0445
Mailing address
6214 SE 45TH AVE, PORTLAND, OR 97206-7029
(609) 477-9192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
—
NULL
175F00000X
Naturopath
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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