Individual
MICHAEL R CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1200 NE 48TH AVE STE 700, HILLSBORO, OR 97124-5020
(503) 317-7860
Mailing address
10340 SW 133RD AVE, BEAVERTON, OR 97008-9706
(503) 317-7860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
38852
CA
225100000X
Physical Therapist
Primary
61427
OR
Other
Enumeration date
06/20/2013
Last updated
05/26/2016
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