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

Radiance Integrative Health & Wellness

Organization Mental Health Counselor · NPI 1124863261

Radiance Integrative Health & Wellness is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

8125 SE Pine St
Portland, OR 97215-1554
Phone: (503) 743-8364
Show map & directions

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

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X
Mental Health Counselor Taxonomy 101YM0800X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1124863261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sundaura Lithman — Manager, Treasurer · (541) 973-3797
NPI enumeratedJune 29, 2024
Last updated in NPPESJune 29, 2024
Certification dateJune 29, 2024
Mailing address1130 Sw Morrison St Ste 328, Portland, OR 97205-2214

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