DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JAEDEN LITTLETON

MEDICARE: JAEDEN LITTLETON
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
1106S00000XBehavior Technician
2101YM0800XMental Health CounselorR10305OR

General Provider Information

NPI Number : 1922680057
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAEDEN LITTLETON
Provider Business Mailing Address
First Line : 2250 NW KEARNEY ST UNIT 104
Second Line :
City : PORTLAND
State : OR
Zip : 97210-3059
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1915 NE STUCKI AVE STE 305
Second Line :
City : HILLSBORO
State : OR
Zip : 97006-8041
Country : US
Telephone Number : 541-975-3868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 03/23/2026

Similar Medicare Providers

1861035388 — DR. KATHERINE HOFMANN ND
Practice Location Address:
1915 NE STUCKI AVE STE 305
HILLSBORO, OR
97006-8041
Practice Phone: 541-975-3868
Practice Fax: 503-300-2809
1659008498 — ALEXANDRA ANN FREDENBURGH
Practice Location Address:
1915 NE STUCKI AVE STE 305
HILLSBORO, OR
97006-8041
Practice Phone: 541-807-0690
Practice Fax:
1568286300 — DAISY HOLLICK
Practice Location Address:
1915 NE STUCKI AVE STE 305
HILLSBORO, OR
97006-8041
Practice Phone: 541-975-3868
Practice Fax: 503-676-3186
1922806405 — ALICIA JILL ANDERSON
Practice Location Address:
1915 NE STUCKI AVE STE 305
HILLSBORO, OR
97006-8041
Practice Phone: 541-807-0690
Practice Fax:
1871387621 — NASTEHA AHMED MOHAMED
Practice Location Address:
1915 NE STUCKI AVE STE 305
HILLSBORO, OR
97006-8041
Practice Phone: 541-975-3868
Practice Fax:
1124813050 — RACHEL ZUKOWSKI LCSW
Practice Location Address:
1915 NE STUCKI AVE STE 305
HILLSBORO, OR
97006-8041
Practice Phone: 541-807-0690
Practice Fax:

Directions to “ JAEDEN LITTLETON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.