Individual
JUSTIN M LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 NE 18TH AVE, PORTLAND, OR 97232-2822
(971) 213-7222
Mailing address
9106 NE SCHUYLER ST, PORTLAND, OR 97220-5555
(503) 680-4386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-11-10925
OR
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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