Provider Demographics
NPI:1902635386
Name:AWERI-BRIGHT, EMILEE JUNE
Entity type:Individual
Prefix:
First Name:EMILEE
Middle Name:JUNE
Last Name:AWERI-BRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-2240
Mailing Address - Country:US
Mailing Address - Phone:313-495-4320
Mailing Address - Fax:
Practice Address - Street 1:411 SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-2240
Practice Address - Country:US
Practice Address - Phone:313-495-4320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000111617374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula