Provider Demographics
NPI:1962211433
Name:BRIGHT SKY INTEGRATIVE RECOVERY
Entity type:Organization
Organization Name:BRIGHT SKY INTEGRATIVE RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:062-225-8780
Mailing Address - Street 1:151 SW SHEVLIN HIXON DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3232
Mailing Address - Country:US
Mailing Address - Phone:206-225-8780
Mailing Address - Fax:
Practice Address - Street 1:151 SW SHEVLIN HIXON DR STE 102
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3232
Practice Address - Country:US
Practice Address - Phone:541-906-8448
Practice Address - Fax:541-229-1284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1558026898OtherNPPES
OR1922699321OtherNPPES
TN1043409139OtherNPPES
1316464910OtherNPPES
WA1558689836OtherNPPES