IndividualActive
Justin Cummings
NPI 1952923757 · Meals Provider · Portland, OR
Provider details
- NPI number
- 1952923757
- Entity type
- Individual
- Primary specialty
- Meals ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
10105 N. Oswego Ave
Portland, OR 97203
Phone: (505) 920-4345
Approximate (ZIP-level) locationGet directions
Mailing address
103 W Powell Blvd Unit 1353
Gresham, OR 97030-0816
Registry dates
- Enumerated
- 2020-05-14
- Last updated
- 2020-05-14
- Certified
- 2020-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.