Healthcare Provider Details

I. General information

NPI: 1952603300
Provider Name (Legal Business Name): BRIGHT START SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2010
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 OKOMA DR
OMAK WA
98841-9593
US

IV. Provider business mailing address

638 OKOMA DR PO BOX 3054
OMAK WA
98841-9525
US

V. Phone/Fax

Practice location:
  • Phone: 509-826-1550
  • Fax: 509-826-1525
Mailing address:
  • Phone: 509-429-0399
  • Fax: 509-826-1525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT00003294
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberLL00004339
License Number StateWA

VIII. Authorized Official

Name: JULIE D DUKE
Title or Position: CREDENTIALLING
Credential:
Phone: 509-826-1550