Search › Oregon › 173C00000X
Judith Cunningham
NPI 1518360650 · on the registry since 2014 · sole proprietor
Practice
- Address
- 14195 Sw Allen Blvd.
Beaverton, OR 97005 - Phone
- (503) 626-2166
- Organisation at this address
- D'Vida Injury Clinic & Wellness Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 173C00000X
173C00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon