Individual
CARIN L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4231 NE 66TH AVE, PORTLAND, OR 97218-3234
(503) 410-1637
Mailing address
4231 NE 66TH AVE, PORTLAND, OR 97218-3234
(503) 410-1637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2658
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/20/2006
Last updated
05/21/2021
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