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

Light Residential Service LLC

Organization Registered Nurse · NPI 1043929664

Light Residential Service LLC is a Registered Nurse in Gladstone, Oregon. Registered with an NPI since 2022.

In the registry since
2022
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

16730 Buckingham Dr
Gladstone, OR 97027-1044
Phone: (301) 633-9649
Fax: (503) 344-6669
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X

Record details

NPI number1043929664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mulusew Kebtie — Director · (301) 633-9649
Other names Light Residential Service Llc
NPI enumeratedNovember 22, 2022
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022
Mailing address16730 Buckingham Dr, Gladstone, OR 97027-1044

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