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Grant William Cunningham
Addiction (Substance Use Disorder) Counselor in Gladstone, Oregon
NPI 1720631609

Grant William Cunningham is an Addiction (Substance Use Disorder) Counselor based in Sherwood, OR and is specialized in Addiction (Substance Use Disorder). Grant William Cunningham practices in Gladstone, OR. The NPI Number for Grant William Cunningham is 1720631609 and holds a License No. 19-R-14 (Oregon).

The current practice location address for Grant William Cunningham is 880 82Nd Dr, Gladstone, OR and can be reached out via phone at 503-659-5515.

Location: 880 82Nd Dr, Gladstone, OR, 97140-7041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720631609
Provider Name
Grant William Cunningham
Credential
Provider Entity Type
Individual
Gender
Male
Address
880 82Nd Dr, Gladstone, OR, 97140-7041
Phone Number
503-659-5515
Fax Number
Provider Enumeration Date
07/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
880 82Nd Dr
City
Gladstone
State
Oregon
Zip
97027-1803
Phone Number
503-659-5515
Fax Number
person
Provider Business Mailing Address Details
Address
880 82Nd Dr
City
Gladstone
State
Oregon
Zip
97027-1803
Phone Number
503-659-5515
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
19-R-14 (Oregon)
Definition
Definition to come...
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