Active NPIIndividual provider

Michael P Cunningham, PA-C

Physician Assistant in Tigard, Oregon

NPI Number1154517175
Practice location
9250 SW Hall Blvd, Tigard, OR 97223-6721
Fax
—
Last updated
November 6, 2020

Michael Patric Cunningham is a Physician Assistant based in Tigard, OR. Michael Patric Cunningham practices in Tigard, OR and has the professional credentials of PA-C. The NPI Number for Michael Patric Cunningham is 1154517175 and holds a License No. PA01309 (OR). The current practice location address for Michael Patric Cunningham is 9250 SW Hall Blvd, Tigard, OR 97223-6721 and can be reached out via phone at 503-293-0161.

Provider Profile Details

NPI Number
1154517175
Provider Name
Michael Patric Cunningham
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
9250 SW Hall Blvd, Tigard, OR 97223-6721
Phone Number
503-293-0161
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 24, 2007
Last Update Date
November 6, 2020
Certification Date
November 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
9250 SW Hall Blvd
Tigard, OR 97223-6721
City
Tigard
State
Oregon
Zip
97223-6721
Phone Number
503-293-0161
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
800 SW 13TH Ave
Portland, OR 97205-1902
City
Portland
State
OR
Zip
97205-1902
Phone Number
503-221-0161

License Information

License Number
PA01309
License State
OR
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael P Cunningham, PA-C?

The NPI number of Michael P Cunningham, PA-C is 1154517175. It was assigned on September 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Michael P Cunningham, PA-C?

Michael P Cunningham, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in OR under license number PA01309.

Where does Michael P Cunningham, PA-C practice?

The practice location is 9250 SW Hall Blvd, Tigard, OR 97223-6721. The office can be reached at 503-293-0161 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154517175 directly on the NPPES registry website.

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