Hunsaker, Wade Robert

Hunsaker, Wade Robert is an individual health care provider with primary practice located at 3001 St Anthony Way , Pendleton OR 97801-3836. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hunsaker, Wade Robert can be contacted via phone (541) 966-0535.

Contact Information

Primary practice address
3001 St Anthony Way Pendleton OR 97801-3836
Fax: (541) 278-4597
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200750078NP Oregon

Profile Details

NPI number 1154520658
LBN Legal business name Hunsaker, Wade Robert
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Feb 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154520658 NPPES
Other 38-1852 MEDICARE FQHC
MEDICAID 231893 MEDICARE FQHC
MEDICAID 246615 MEDICARE FQHC

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