MR. SCOTT MATTHEW LIGHT P.A.-C. NPI 1679653745

NPI Information

  • NPI: 1679653745
  • Provider Name: MR. SCOTT MATTHEW LIGHT, P.A.-C.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1251 NE ELM ST
    SUITE 1A
    PRINEVILLE, OR
    ZIP 97754
  • Phone: (541) 447-1680

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NPI Details

MR. Scott Matthew Light, P.A.-C. is a medical physician assistant in Prineville, OR. MR. Scott Matthew Light, P.A.-C. NPI is 1679653745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1251 NE ELM ST
SUITE 1A
PRINEVILLE, OR
ZIP 97754-206
Phone: (541) 447-1680
Fax: (541) 447-4670

The NPI 1679653745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 2/23/2012.

Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA01153OREGONNo
2363AM0700XPhysician AssistantMedicalPA10005254WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA01153OTHEROREGONOREGON STATE LICENSE
2PA10005254OTHERWASHINGTONWA LICENCE
3383860MEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE NUMBER
4213187MEDICAIDOREGON

What is NPI?

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: 11/21/2025

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