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Individual

JUSTIN ALEXANDER HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2701 NW VAUGHN ST STE 150, PORTLAND, OR 97210-5379
(503) 229-8455
(503) 229-7028
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD224258
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2328539
WA
05
500858649
OR
Enumeration date
03/31/2020
Last updated
09/03/2025
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