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LIGHT SIDE WELLNESS CO.
NPI 1710660956
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since August 14, 2023
2175 NW RALEIGH ST STE 110, PORTLAND, OR 97210(503) 773-4673 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Light Side Wellness Co. NPPES

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

LIGHT SIDE WELLNESS CO. (NPI 1710660956) is a healthcare organization registered as a psychiatric/mental health in Portland, Oregon and active in the NPI registry since August 2023. The organization lists Steven Jon Knott, Owner, as its authorized official.

NPPES Registry Identity

NPI1710660956
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIGHT SIDE WELLNESS CO.
Location Address2175 NW RALEIGH ST STE 110Portland, OR 97210-2392
Mailing Address2355 State St Ste 101Salem, OR 97301-4541 · (503) 773-4673
Phone(503) 773-4673
Organization SubpartNo
Authorized OfficialSteven Jon KnottOwner · (503) 773-4673
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 12, 2023
✔ NPI 1710660956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2175 NW RALEIGH ST STE 110, Portland, OR 97210
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

KATLYN WOLF RD, LD
Dietitian, Registered
2175 NW RALEIGH ST STE 110
PORTLAND, OR 97210
Multnomah County (602) 218-5278
OLAYINKA OYAWUSI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2175 NW RALEIGH ST STE 110
PORTLAND, OR 97210
Multnomah County (800) 465-3203
STEPHANIE INEZ NAJARRO FNP-C
Nurse Practitioner (Family)
2175 NW RALEIGH ST STE 110
PORTLAND, OR 97210
Multnomah County (888) 803-3370
GI NUTRITION NW, LLC
Dietitian, Registered
2175 NW RALEIGH ST STE 110
PORTLAND, OR 97210
Multnomah County (971) 238-2369
CIRCLE MEDICAL CARE GROUP PA
Family Medicine
2175 NW RALEIGH ST STE 110
PORTLAND, OR 97210
Multnomah County (888) 803-3370
CATHLEEN BRUNER
Family Medicine
2175 NW RALEIGH ST STE 110
PORTLAND, OR 97210
Multnomah County (415) 840-0560
JOSIE COLLEEN SHOWALTER
Dietitian, Registered
2175 NW RALEIGH ST STE 110
PORTLAND, OR 97210
Multnomah County (602) 218-5278
PEACEHAVEN BEHAVIORAL CENTER LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2175 NW RALEIGH ST STE 110
PORTLAND, OR 97210
Multnomah County (737) 231-0823

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 Light Side Wellness Co.'s NPI number?

The NPI number for Light Side Wellness Co. is 1710660956. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Light Side Wellness Co. located?

Light Side Wellness Co. is located at 2175 NW Raleigh St Ste 110, Portland, OR 97210. The listed phone number is (503) 773-4673.

What is Light Side Wellness Co.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Light Side Wellness Co. accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Light Side Wellness Co. 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 Light Side Wellness Co. was last updated on August 14, 2023. 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.