GRANT WILLIAM CUNNINGHAM

GLADSTONE, OR
NPI1720631609
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  19-R-14)
Enumeration Date2019-07-19
Last Update Date2019-07-19
Business Address
GRANT WILLIAM CUNNINGHAM
880 82ND DR
GLADSTONE, OR 97027-1803
Phone number: 503-659-5515
Mailing Address
GRANT WILLIAM CUNNINGHAM
22550 SW HIGHLAND DR APT 340
SHERWOOD, OR 97140-7041
Phone number: 720-988-9565
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