MEDICARE: DR. DUSTIN MATTHEW HUNDLEY M.S., D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5649	OR

General Provider Information

NPI Number	:	1265812648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUSTIN MATTHEW HUNDLEY M.S., D.C.

Provider Business Mailing Address
First Line	:	8501 E MILL PLAIN BLVD
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-2010
Country	:	US
Telephone Number	:	360-718-2346
Fax Number	:	360-718-2347

Provider Business Practice Location Address
First Line	:	1905 MOUNTAIN VIEW LN STE 400
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-2264
Country	:	US
Telephone Number	:	503-357-2187
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2015
Last Update Date	:	01/07/2019

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