Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Patric Cunningham, PA-C

Individual provider Physician Assistant · NPI 1154517175

Michael Patric Cunningham, PA-C is a Physician Assistant in Tigard, Oregon. Qualified in 2007, 19 years ago. Practices with Portland Clinic, a 93-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
19
Licensed in
OR
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9250 SW Hall Blvd
Tigard, OR 97223-6721
Phone: (503) 293-0161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01309 (OR)

Record details

NPI number1154517175
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2007
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Portland Clinic — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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