Grant William Cunningham

NPI #1720631609 in Gladstone, Oregon

Provider Information

NPI Number
1720631609
Entity Type
Individual
Name
Grant William Cunningham
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 19, 2019
Last Updated
Jul 19, 2019

Practice Location

Address
880 82ND DR
State
Oregon
ZIP Code
97027-1803
Phone
(503) 659-5515

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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