Organization
BRIGHT PATH PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA RAEVOURI (OWNER)
(360) 996-1071
Entity
Organization
Contact information
Practice address
752 OFFICERS ROW, VANCOUVER, WA 98661-3845
(360) 996-1071
Mailing address
2807 N PIONEER CANYON DR, RIDGEFIELD, WA 98642-7524
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/28/2025
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