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Individual

DR. ROY JAMES LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Mailing address
1777 NITA ST, ASTORIA, OR 97103-5648
(503) 325-6210

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16550
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011341
OR
Enumeration date
07/07/2006
Last updated
04/12/2016
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