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General NPI Number Information
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NPI Number | 1942145883
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Entity Type | Organization
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Legal Business Name | BRIGHTPATH MIND & WELLNESS LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 1500 NW BETHANY BLVD STE 200
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City | BEAVERTON
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State | OR
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Zip | 97006-5236
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Country | US
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Telephone | 571-239-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 NW BETHANY BLVD STE 200
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City | BEAVERTON
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State | OR
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Zip | 97006-5236
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Country | US
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Telephone | 571-239-7115
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Fax |
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Authorized Official
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Title or Position | PMHNP/ MANAGER
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Name | MARTHA DEMESEW
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Credential | DEMESEW
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Telephone | 571-239-7115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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