OrganizationActive
A Little Light Collective, LLC
NPI 1124851167 · Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
Provider details
- NPI number
- 1124851167
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jordan Dobrovolny, Member(503) 994-6702
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
4605 Ne Fremont St Ste 210f
Portland, OR 97213-1707
Phone: (503) 994-6702
Approximate (ZIP-level) locationGet directions
Mailing address
1717 Ne 42nd Ave Ste 3200
Portland, OR 97213-1572
Other names (DBA / former)
- Other name
- Jordan Dobrovolny Lcsw
- Other name
- Jordan Dobrovolny Lcsw
Registry dates
- Enumerated
- 2024-08-23
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.