Individual provider · Type 1 NPI
Justin Cummings
Meals Provider · Portland, OR
NPI number
1952923757
Active
Practice location
10105 N. Oswego Ave
Portland, OR 97203
Mailing address
103 W Powell Blvd Unit 1353
Gresham, OR 97030-0816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1952923757
Justin Cummings's National Provider Identifier is 1952923757, issued on May 14, 2020. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Portland, OR. The record was last updated on May 14, 2020.