Healthcare Provider Details

I. General information

NPI: 1457255010
Provider Name (Legal Business Name): TERRELL HUNTER LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 SW 3RD ST STE 305
CORVALLIS OR
97333-4652
US

IV. Provider business mailing address

1437 NW GIBSON HILL RD
ALBANY OR
97321-1221
US

V. Phone/Fax

Practice location:
  • Phone: 307-260-7444
  • Fax:
Mailing address:
  • Phone: 307-260-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberLMT-29998
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: