Organization
BRIGHT HORIZONS PSYCHIATRIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SHAW (MEMBER)
(541) 647-3076
Entity
Organization
Contact information
Practice address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 647-3076
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
03/18/2022
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