Individual
LUCAS LITTLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2927 NE EVERETT ST, PORTLAND, OR 97232-3248
(503) 232-6161
Mailing address
1832 NE BROADWAY ST, PORTLAND, OR 97232-1992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24789
OR
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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