Individual
BILLY L. CUNNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10330 SE 32ND AVENUE, SUITE 210, CLACKAMAS, OR 97222-6594
(503) 962-1000
(509) 444-7807
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6644
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
49843
MT
363A00000X
Physician Assistant
PA10004581
WA
363AM0700X
Medical Physician Assistant
Primary
PA155381
OR
Other
Enumeration date
04/22/2006
Last updated
07/07/2022
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