Organization
RADIANCE INTEGRATIVE HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNDAURA LITHMAN LCSW (MANAGER, TREASURER)
(541) 973-3797
Entity
Organization
Contact information
Practice address
8125 SE PINE ST, PORTLAND, OR 97215-1554
(503) 743-8364
Mailing address
1130 SW MORRISON ST STE 328, PORTLAND, OR 97205-2214
(503) 743-8364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up