Individual
ROBERT WALTER HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2117 UNION AVE, NORTH BEND, OR 97459-3314
(541) 808-9000
(541) 808-9001
Mailing address
2117 UNION AVE, NORTH BEND, OR 97459-3314
(541) 808-9000
(541) 808-9001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27149
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930635514
GROUP TAX ID FOR BILLING
OR
01
—
CB3544
RR MEDICARE GROUP NUMBER
OR
01
—
P00389915
RR MEDICARE PTAN NUMBER
OR
01
—
P01428006
RR MEDICARE
OR
01
—
R0000WFBTV
GROUP PIN NUMBER
OR
01
—
R177736
MEDICARE PTAN
OR
Enumeration date
12/05/2006
Last updated
10/14/2015
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