NPI 1952923757

Justin Cummings

Practitioner Meals Provider Portland, OR

Practice location

Address: 10105 N. Oswego Ave, Portland, OR 97203
Phone: (505) 920-4345
Mailing address: 103 W Powell Blvd Unit 1353, Gresham, OR 97030-0816

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in Oregon →

Registry record

NPI: 1952923757
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2020
Record last updated: 14 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.