Justin Cummings is a Meals Provider based in Gresham, OR. Justin Cummings practices in Portland, OR. The NPI Number for Justin Cummings is 1952923757 and holds a License No. (Oregon).
The current practice location address for Justin Cummings is 10105 N. Oswego Ave, Portland, OR and can be reached out via phone at 505-920-4345.
Location: 10105 N. Oswego Ave, Portland, OR, 97030-0816
Provider Profile Details
NPI Number
1952923757
Provider Name
Justin Cummings
Credential
Provider Entity Type
Individual
Gender
Male
Address
10105 N. Oswego Ave, Portland, OR, 97030-0816
Phone Number
505-920-4345
Fax Number
Provider Enumeration Date
05/14/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
10105 N. Oswego Ave
City
State
Zip
97203
Phone Number
505-920-4345
Fax Number
Provider Business Mailing Address Details
Address
10105 N. Oswego Ave
City
State
Zip
97203
Phone Number
505-920-4345
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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