Individual
TANNER HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.S.S
Contact information
Practice address
195 W 12TH AVE, EUGENE, OR 97401-3408
(541) 762-4325
(541) 684-4156
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
(541) 684-4156
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
01/06/2020
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