LIGHT SIDE WELLNESS CO. is a psychiatric/mental health nurse practitioner in Portland, OR. LIGHT SIDE WELLNESS CO. NPI is 1710660956. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2175 NW RALEIGH ST STE 110
PORTLAND, OR
ZIP 97210-392
Phone: (503) 773-4673
The provider's authorized official is Steven Jon Knott .
The authorized official title is Owner and has the following contact phone number (503) 773-4673.
The enumeration date for this NPI number is 8/14/2023 and was last updated on 8/14/2023.