Individual
MS. ABIGAIL MICHELLE GUNNINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
527 SW HALL ST, #415, PORTLAND, OR 97201-5230
(503) 725-4073
Mailing address
12577 SE RIVER RD, APT 240, MILWAUKIE, OR 97222-8007
(402) 689-0278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10150585
OR
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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