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1306612270
JUSTIN M LITTLE
PORTLAND, OR
NPI
1306612270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 23-11-10925)
Enumeration Date
2023-11-30
Last Update Date
2023-11-30
Business Address
JUSTIN M LITTLE
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 971-213-7222
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Mailing Address
JUSTIN M LITTLE
9106 NE SCHUYLER ST
PORTLAND, OR 97220-5555
Phone number: 503-680-4386
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