Healthcare Provider Details

I. General information

NPI: 1194196097
Provider Name (Legal Business Name): ERIC MATTHEW HUNKE FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2015
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 COBURG RD
EUGENE OR
97401-4995
US

IV. Provider business mailing address

1032 S WW WHITE RD
SAN ANTONIO TX
78220-2531
US

V. Phone/Fax

Practice location:
  • Phone: 541-640-7625
  • Fax: 541-644-3477
Mailing address:
  • Phone: 210-447-3033
  • Fax: 210-447-3036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10051383
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP129383
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: