Organization
RUSSEL A. HUNT, PMHNP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSEL A HUNT PMHNP (PROVIDER/OWNER)
(541) 963-7643
Entity
Organization
Contact information
Practice address
802 WASHINGTON AVE, LA GRANDE, OR 97850-2223
(541) 963-7643
(541) 962-0497
Mailing address
802 WASHINGTON AVE, LA GRANDE, OR 97850-2223
(541) 963-7643
(541) 962-0497
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
88000353N6
OR
Other
Enumeration date
06/09/2008
Last updated
07/21/2022
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