Individual
COLIN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 494-4322
Mailing address
3181 SW SAM JACKSON PARK RD # CDW-EM, PORTLAND, OR 97239-3098
(650) 723-5498
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
143942
CA
207P00000X
Emergency Medicine Physician
Primary
MD193903
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD193903
STATE LICENSE
OR
Enumeration date
05/01/2015
Last updated
08/22/2019
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