SearchOregon101YA0400X

Justin Little

NPI 1306612270 · on the registry since 2023 · sole proprietor

Practice

Address
211 Ne 18th Ave
Portland, OR 97232
Phone
(971) 213-7222
Clinicians at this address
38

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon