A LITTLE LIGHT THERAPY COLLECTIVE is a mental health (including community mental health center) clinic center in Portland, OR. A LITTLE LIGHT THERAPY COLLECTIVE NPI is 1124851167. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4605 NE FREMONT ST STE 210F PORTLAND, OR ZIP 97213-707 Phone: (503) 994-6702
The provider's authorized official is Jordan Mae Dobrovolny . The authorized official title is Member and has the following contact phone number (503) 994-6702.
The enumeration date for this NPI number is 8/23/2024 and was last updated on 8/23/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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