JUSTIN M LITTLE

PORTLAND, OR
NPI1306612270
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  23-11-10925)
Enumeration Date2023-11-30
Last Update Date2023-11-30
Business Address
JUSTIN M LITTLE
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 971-213-7222
Mailing Address
JUSTIN M LITTLE
9106 NE SCHUYLER ST
PORTLAND, OR 97220-5555
Phone number: 503-680-4386
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