GLEN MARTIN CUNNINGHAM

PORTLAND, OR
NPI1871450460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  10055208)
Enumeration Date2026-01-06
Last Update Date2026-01-06
Business Address
GLEN MARTIN CUNNINGHAM FNP
2400 SW VERMONT ST
PORTLAND, OR 97219-1940
Phone number: 503-452-0915
Mailing Address
GLEN MARTIN CUNNINGHAM FNP
PO BOX 27
SUBLIMITY, OR 97385-0027
Phone number: 541-602-0047