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Individual

DR. MELISSA MARIA CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686
(503) 222-0707
Mailing address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686
(503) 222-0707

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3633
OR
103TH0100X
Health Service Psychologist
3633
OR

Other

Enumeration date
07/20/2023
Last updated
07/20/2023
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