Provider Demographics
NPI:1043999675
Name:BARNES, HUNTER CHARLES EDWARD (DC)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:CHARLES EDWARD
Last Name:BARNES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 NW SPRUCE ST APT C7
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-1046
Mailing Address - Country:US
Mailing Address - Phone:541-571-8999
Mailing Address - Fax:
Practice Address - Street 1:215 SW 3RD ST STE B
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-1701
Practice Address - Country:US
Practice Address - Phone:541-289-9966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor