Healthcare Provider Details

I. General information

NPI: 1982511309
Provider Name (Legal Business Name): MELANIE LITTELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9755 SW BARNES RD STE 650
PORTLAND OR
97225-6657
US

IV. Provider business mailing address

2260 NW EVERETT ST APT 15
PORTLAND OR
97210-5590
US

V. Phone/Fax

Practice location:
  • Phone: 503-924-7486
  • Fax: 503-444-4866
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberR10416
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: