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Silver lining


We manage your administrative needs so you can focus on what you love

Specializing in Alternative Care Providers, Nurse Practitioners, Counselors, Silver Lining Adjustments (SLA) provides medical billing, virtual administrative management, and monthly bookkeeping services in Portland, Oregon and throughout the greater Pacific Northwest.


Nice Words

"I cannot recommend Tameka and her team highly enough.  She has helped me transition from 2 clinic locations and kept the billing headache-free all along.  I love that I get to see her each month and check in.  She is a pro and highly personable."

Laura G.

Portland, OR

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