MEDICARE: SPENCER RYAN BRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1932042918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SPENCER RYAN BRIGHT

Provider Business Mailing Address
First Line	:	7201 HENDERSON BLVD SE APT 11B
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98501-6363
Country	:	US
Telephone Number	:	360-943-1907
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 HENDERSON BLVD SE APT 11B
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98501-6363
Country	:	US
Telephone Number	:	360-943-1907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ SPENCER RYAN BRIGHT ” Practice Location

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