BLAIR LITTLETON HULETT (NPI# 1669715611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669715611 |
| Entity Type | Individual |
| Full Name | BLAIR LITTLETON HULETT |
| Other Name | BLAIR LOUISE LITTLETON |
| Credential | PA-C |
| Practice Address |
3838 Pacific Ave Forest Grove OR 97116-2224 |
| Practice Telephone | 5039920288 |
| Mailing Telephone | 5039920288 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA160875 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3838 PACIFIC AVE |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890997 | Stephen Patrick Moon | Emergency Medicine | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2005-12-03 |
| 1528665502 | Jaclyn Sorbets | Massage Therapist | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2020-10-03 |
| 1043837891 | Emma Gasinski | Physical Therapist | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2020-06-27 |
| 1902440910 | Adriana Sandoval | Physical Therapist | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2019-11-01 |
| 1881196111 | Patricia Loraine Rieger | Physical Therapy Assistant | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2018-03-02 |
| 1134512072 | Susan Marie Gillispie | Nurse Practitioner | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2015-03-17 |
| 1154662849 | Sean L Steward, Md, PC | Clinic/Center | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2013-03-06 |
| 1548403033 | Kerry Jones Ashby | Physician Assistant | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2009-04-13 |
| 1679659296 | Sean L Steward, Md, PC | Clinic/Center | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2006-10-27 |
| 1437197852 | Andrew J Jaszewski | Physician Assistant | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| Find all providers in zip 97116 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1629479282 | Elizabeth Marie Hughes | Physician Assistant | 1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2893 | 2014-09-12 |
| 1548403033 | Kerry Jones Ashby | Physician Assistant | 3838 Pacific Ave, Forest Grove, OR 97116-2224 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| Find all providers with the same taxonomy | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.