Healthcare Provider Details

I. General information

NPI: 1487579876
Provider Name (Legal Business Name): BRIGHTSTEPS MENTAL AND BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12822 SE OTT ST
CLACKAMAS OR
97015-8637
US

IV. Provider business mailing address

12822 SE OTT ST
CLACKAMAS OR
97015-8637
US

V. Phone/Fax

Practice location:
  • Phone: 202-710-7011
  • Fax:
Mailing address:
  • Phone: 202-710-7011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EMNET T KABA
Title or Position: PMHNP/ OWNER
Credential: PMHNP
Phone: 202-710-7011