1. Home
  2. Directory
  3. Oregon
  4. Prineville
  5. Physician Assistant
  6. NPI Profile

MR. SCOTT MATTHEW LIGHT P.A.-C.
NPI 1679653745
Physician Assistant - Medical in Prineville, OR

Active since October 16, 2006
1251 NE ELM ST, SUITE 1A, PRINEVILLE, OR 97754(541) 447-1680(541) 447-4670 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Scott Matthew Light P.a.-c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SCOTT MATTHEW LIGHT P.A.-C. (NPI 1679653745) is an individual medical provider in Prineville, Oregon, licensed in Washington (PA10005254) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1679653745
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. SCOTT MATTHEW LIGHTCredential: P.A.-C.
Location Address1251 NE ELM ST, SUITE 1APrineville, OR 97754-1206
Mailing Address838 Essex AveAberdeen, WA 98520-2718 · (503) 730-6719
Phone(541) 447-1680
Fax(541) 447-4670
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateFebruary 23, 2012
✔ NPI 1679653745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in WA · PA10005254✔ Licensed in OR · PA01153
1251 NE ELM ST, Prineville, OR 97754
Open in Google Maps ↗

Other Identifiers 4

OtherPA01153OR · Oregon State License
OtherPA10005254WA · Wa Licence
Medicare ID-Type Unspecified383860OR · Medicare Number
Medicaid213187OR

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA TAVARES CUNHA MA
Counselor (Mental Health)
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330
MR. KENNETH W SMITH P.T.
Physical Therapist
1251 NE ELM ST, STE 2-A
PRINEVILLE, OR 97754
Crook County (541) 447-6846
CYNTHIA STIDD LCSW
Social Worker (Clinical)
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330
KATIE MORRISON
Counselor (Mental Health)
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330
KARIANNE CLARK
Social Worker
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (800) 598-3345
ROENTGEN SERVICES, LLC
Technician, Other
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 447-1008
MRS. COURTNEY ANNE PARCHMON LPC, CADCI
Counselor (Mental Health)
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330

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 Scott Light's NPI number?

The NPI number for Scott Light is 1679653745. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Scott Light located?

Scott Light practices at 1251 NE Elm St Suite 1A, Prineville, OR 97754. The listed phone number is (541) 447-1680.

What is Scott Light's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Scott Light was last updated on February 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.