Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Headlight Mental Healthcare, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1265242820

Headlight Mental Healthcare, LLC is a Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 SE Mlk Blvd Unit 105
Portland, OR 97214-2595
Phone: (541) 581-1080
Fax: (541) 588-6525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1265242820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Laird — Founder · (541) 581-1080
NPI enumeratedJanuary 7, 2025
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address555 Se Mlk Blvd Unit 105, Portland, OR 97214-2595

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