Individual
MS. SERENA MAE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 517-8663
Mailing address
2811 NE HOLMAN ST, PORTLAND, OR 97211-6067
(253) 218-5550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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