Provider Demographics
NPI:1588375984
Name:CUNNINGHAM, ALISON ANNE
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ANNE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:ANNE
Other - Last Name:MCCALPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13427 SW BEACH PLUM TER
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-9550
Mailing Address - Country:US
Mailing Address - Phone:971-354-7962
Mailing Address - Fax:
Practice Address - Street 1:13427 SW BEACH PLUM TER
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-9550
Practice Address - Country:US
Practice Address - Phone:971-354-7962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR098000258RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse