MEDICARE: YANA K LITTLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD162430	OR
2	171100000X	Acupuncturist	MD162430	OR

General Provider Information

NPI Number	:	1285893958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANA K LITTLE MD

Provider Business Mailing Address
First Line	:	9323 NW OLD SKYLINE BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97231-2600
Country	:	US
Telephone Number	:	207-317-7414
Fax Number	:

Provider Business Practice Location Address
First Line	:	8329 SW BEAVERTON HILLSDALE HWY
Second Line	:	BUILDING 2
City	:	PORTLAND
State	:	OR
Zip	:	97225-2215
Country	:	US
Telephone Number	:	503-413-3303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	05/05/2014

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Directions to “ YANA K LITTLE MD” Practice Location

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