GRANT WILLIAM CUNNINGHAM (NPI# 1720631609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720631609 |
| Entity Type | Individual |
| Full Name | GRANT WILLIAM CUNNINGHAM |
| Practice Address |
880 82nd Dr Gladstone OR 97027-1803 |
| Mailing Address |
22550 Sw Highland Dr Apt 340 Sherwood OR 97140-7041 |
| Practice Telephone | 5036595515 |
| Mailing Telephone | 7209889565 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19-R-14 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22550 Sw Highland Dr Apt 340, Sherwood, OR 971407041 | 7209889565 |
| Street Address |
880 82ND DR |
| City | GLADSTONE |
| State | OR |
| Zip Code | 97027-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497859888 | William Arthur Blakey Sr. | Psychologist | 880 82nd Dr, Gladstone, OR 97027-1803 | 2006-09-07 |
| 1952929960 | Kayla Dawn Carrar | Counselor | 880 82nd Dr, Gladstone, OR 97027-1803 | 2020-07-07 |
| 1245852417 | Mikaylee Dato | Counselor | 880 82nd Dr, Gladstone, OR 97027-1803 | 2020-05-11 |
| 1780204164 | Gennady Fortuna | Counselor | 880 82nd Dr, Gladstone, OR 97027-1803 | 2020-04-25 |
| 1962983403 | Jessica Ann Holcomb | Psychologist | 880 82nd Dr, Gladstone, OR 97027-1803 | 2018-08-23 |
| 1982185500 | Jill Denise Henion | Marriage & Family Therapist | 880 82nd Dr, Gladstone, OR 97027-1803 | 2018-08-22 |
| 1942702014 | Stacey Warren Berry | Social Worker | 880 82nd Dr, Gladstone, OR 97027-1803 | 2018-03-06 |
| 1194254359 | Naime Nansen Conrad | Student in an Organized Health Care Education/Training Program | 880 82nd Dr, Gladstone, OR 97027-1803 | 2017-06-09 |
| 1962946020 | Heather Rebecca Whitney | Social Worker | 880 82nd Dr, Gladstone, OR 97027-1803 | 2016-12-08 |
| 1154779403 | Cherie Thompson | Counselor | 880 82nd Dr, Gladstone, OR 97027-1803 | 2016-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484270 | Patricia Ann Combs | Massage Therapist | 255 E. Dartmouth St., Gladstone, OR 97027 | 2020-07-09 |
| 1376036764 | Gladstone Smiles Dentistry PC | Dentist | 20140 Mcloughlin Blvd, Gladstone, OR 97027 | 2018-06-11 |
| 1194111344 | Kacey Danyelle Dahmen | Behavioral Analyst | 890 Se 82nd Drive, Gladstone, OR 97027 | 2015-04-14 |
| 1255738092 | Western Psychological and Counseling Services PC | Community/Behavioral Health | 870 Se 82nd, Gladstone, OR 97027 | 2014-11-21 |
| 1548678097 | James Lee Briscoe | Counselor | 870 Se 82nd Dr., Bldg. C, Gladstone, OR 97027 | 2014-07-29 |
| 1003164690 | Chloe Elizabeth Lee-zorn | Psychologist | 890 Se 82nd, Gladstone, OR 97027 | 2012-08-29 |
| 1700187408 | Leonard Cogan | Counselor | 887 82nd Dr, Bldg C, Gladstone, OR 97027 | 2010-11-11 |
| 1851525620 | Sarah Morgan Schrauben | Psychiatry & Neurology | 870 Se 82nd Ave., Portland, OR 97027 | 2009-05-08 |
| 1093971640 | Western Psychological and Counseling Services PC | Counselor | 9670 Sw Beaverton-hillsdale Hwy, Beaverton, OR 97027 | 2008-08-04 |
| 1578606935 | Myron John Welbes | Counselor | 17663 Se 82nd Drive, Gladstone, OR 97027 | 2007-02-15 |
| Find all providers in zip 97027 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548678097 | James Lee Briscoe | Counselor | 870 Se 82nd Dr., Bldg. C, Gladstone, OR 97027 | 2014-07-29 |
| 1932471992 | Susan Marie Stanton | Counselor | 870 82nd Dr, Building C, Gladstone, OR 97027-1803 | 2012-02-06 |
| 1700187408 | Leonard Cogan | Counselor | 887 82nd Dr, Bldg C, Gladstone, OR 97027 | 2010-11-11 |
| 1861620700 | Kellie J Roberts | Counselor | 870 82nd Dr Bldg C, Gladstone, OR 97027-1803 | 2009-06-30 |
| 1578606935 | Myron John Welbes | Counselor | 17663 Se 82nd Drive, Gladstone, OR 97027 | 2007-02-15 |
| 1932693918 | Julia A. Arambul | Counselor | 870 82nd Dr, Gladstone, OR 97027-1803 | 2018-06-21 |
| 1861876369 | Stephen Parisi | Counselor | 870 82nd Dr Bldg C, Western Psychological & Counseling Services, Gladstone, OR 97027-1803 | 2015-07-14 |
| 1598158479 | Margaret 'page' Kalkowski | Counselor | 870 82nd Dr, Gladstone, OR 97027-1803 | 2015-03-16 |
| 1619384773 | Noah Charles Stroup | Counselor | 870 82nd Dr, Building C, Gladstone, OR 97027-1803 | 2014-07-21 |
| 1114264223 | Barbara Collins | Counselor | 880 82nd Dr, Annex A, Gladstone, OR 97027-1803 | 2013-01-09 |
| Find all providers in GLADSTONE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.