Healthcare Provider Details

I. General information

NPI: 1093045775
Provider Name (Legal Business Name): NATALIE RENE HUNT M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2010
Last Update Date: 01/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 NE IRVING ST SUITE 250
PORTLAND OR
97232-2243
US

IV. Provider business mailing address

2807 NE 62ND AVE
PORTLAND OR
97213-3940
US

V. Phone/Fax

Practice location:
  • Phone: 503-258-4200
  • Fax:
Mailing address:
  • Phone: 503-307-3367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: