- Practice location
- 4605 NE Fremont St Ste 210F, Portland, OR 97213-1707
- Phone
- 503-994-6702
- Fax
- —
- Last updated
- June 3, 2025
A Little Light Collective, LLC is a healthcare organization based in Portland, OR. A Little Light Collective, LLC practices in Portland, OR. The NPI Number for A Little Light Collective, LLC is 1124851167. The current practice location address for A Little Light Collective, LLC is 4605 NE Fremont St Ste 210F, Portland, OR 97213-1707 and can be reached out via phone at 503-994-6702.
Provider Profile Details
- NPI Number
- 1124851167
- Provider Name
- A Little Light Collective, LLC
- Provider Entity Type
- Organization
- Address
- 4605 NE Fremont St Ste 210F, Portland, OR 97213-1707
- Phone Number
- 503-994-6702
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Jordan Mae Dobrovolny, LCSW · Member · 503-994-6702
- Other Names
- Jordan Dobrovolny LCSW (Other Name)
- Provider Enumeration Date
- August 23, 2024
- Last Update Date
- June 3, 2025
- Certification Date
- June 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4605 NE Fremont St Ste 210F
Portland, OR 97213-1707 - City
- Portland
- State
- Oregon
- Zip
- 97213-1707
- Phone Number
- 503-994-6702
Provider Business Mailing Address Details
- Address
- 1717 NE 42ND Ave Ste 3200
Portland, OR 97213-1572 - City
- Portland
- State
- OR
- Zip
- 97213-1572
- Phone Number
- 503-994-6702
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of A Little Light Collective, LLC?
The NPI number of A Little Light Collective, LLC is 1124851167. It was assigned on August 23, 2024 and is currently active in the NPPES registry.
What is the specialty of A Little Light Collective, LLC?
A Little Light Collective, LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does A Little Light Collective, LLC practice?
The practice location is 4605 NE Fremont St Ste 210F, Portland, OR 97213-1707. The office can be reached at 503-994-6702 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124851167 directly on the NPPES registry website.