Most Relevant Information
Provider Data
| NPI Number: | 1003213711 |
| Provider Name: | ABIGAIL MICHELLE GUNNINK MS, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT-AT-10150585 |
Most Important Dates
| Enumeration Date: | 11/24/2014 |
| Last Updated: | 11/24/2014 |
Provider Practice Location
527 SW HALL ST
#415
PORTLAND
OR
972015230
Practice Location Phone/Fax
| Phone: | 5037254073 |
| Fax: |
Provider Mailing Location
12577 SE RIVER RD
APT 240
MILWAUKIE
OR
972228007
Provider Mailing Phone/Fax
| Phone: | 4026890278 |
| Fax: |