Individual
MR. SCOTT MATTHEW LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1251 NE ELM ST, SUITE 1A, PRINEVILLE, OR 97754-1206
(541) 447-1680
(541) 447-4670
Mailing address
838 ESSEX AVE, ABERDEEN, WA 98520-2718
(503) 730-6719
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA01153
OR
363AM0700X
Medical Physician Assistant
Primary
PA10005254
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213187
—
OR
01
—
PA01153
OREGON STATE LICENSE
OR
01
—
PA10005254
WA LICENCE
WA
Enumeration date
10/16/2006
Last updated
02/23/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us