Individual
TRAVIS CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7642 SW CAPITOL HWY, PORTLAND, OR 97219-2437
(971) 288-5939
Mailing address
7642 SW CAPITOL HWY, PORTLAND, OR 97219-2437
(315) 506-5743
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC188902
OR
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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