Mr. Justin Cummings
Mr. Justin Cummings is a Meals Provider in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
10105 N Oswego AvePortland, OR 97203
Phone: (505) 920-4345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Meals Provider (primary) | Taxonomy 174200000X |
|---|
Record details
| NPI number | 1952923757 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2020 |
| Last updated in NPPES | May 14, 2020 |
| Certification date | May 14, 2020 |
| Mailing address | 103 W Powell Blvd Unit 1353, Gresham, OR 97030-0816 |
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