Individual
WADE EUGENE LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14536 S IRONWOOD RD, OREGON CITY, OR 97045-9116
(503) 348-6833
Mailing address
14536 S IRONWOOD RD, OREGON CITY, OR 97045-9116
(503) 348-6833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200840597RN
OR
Other
Enumeration date
09/16/2012
Last updated
09/16/2012
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