Provider Demographics
NPI:1922799899
Name:CUNIO, STERLING RAY (THW)
Entity Type:Individual
Prefix:
First Name:STERLING
Middle Name:RAY
Last Name:CUNIO
Suffix:
Gender:M
Credentials:THW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 AVALON CT NE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-4593
Mailing Address - Country:US
Mailing Address - Phone:971-209-0404
Mailing Address - Fax:
Practice Address - Street 1:521 AVALON CT NE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-4593
Practice Address - Country:US
Practice Address - Phone:971-209-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR108216175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist