RADIANCE INTEGRATIVE HEALTH & WELLNESS
NPI 1124863261
Clinic/Center - Health Service in Portland, OR
About Radiance Integrative Health & Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RADIANCE INTEGRATIVE HEALTH & WELLNESS (NPI 1124863261) is a healthcare organization registered as a health service in Portland, Oregon and active in the NPI registry since June 2024. The organization lists Sundaura Lithman, Manager, Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Radiance Integrative Health & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Radiance Integrative Health & Wellness, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Radiance Integrative Health & Wellness's NPI number?
The NPI number for Radiance Integrative Health & Wellness is 1124863261. It was assigned to this organization in the NPPES registry on June 29, 2024.
Where is Radiance Integrative Health & Wellness located?
Radiance Integrative Health & Wellness is located at 8125 SE Pine St, Portland, OR 97215. The listed phone number is (503) 743-8364.
What is Radiance Integrative Health & Wellness's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Radiance Integrative Health & Wellness enrolled in Medicare?
Yes. Radiance Integrative Health & Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Radiance Integrative Health & Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Radiance Integrative Health & Wellness, in Clinical Psychologist and Osteopathic Manipulative Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Radiance Integrative Health & Wellness accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Radiance Integrative Health & Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Radiance Integrative Health & Wellness was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Radiance Integrative Health & Wellness · NPI 1124863261
Health Service organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since June 29, 2024.
## Identity
- **NPI:** 1124863261 (Entity type: Organization)
- **Enumerated:** June 29, 2024
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Sundaura Lithman, MANAGER, TREASURER
## Practice location
- **Address:** 8125 SE PINE ST, Portland, OR 97215-1554
- **Phone:** (503) 743-8364
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Osteopathic Manipulative Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124863261) · Data from the CMS NPPES public registry.