Provider Demographics
NPI:1427450360
Name:HUNTER, GARY EUGENE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:EUGENE
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 NE PROFESSIONAL CT STE 250
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6988
Mailing Address - Country:US
Mailing Address - Phone:541-513-0500
Mailing Address - Fax:541-385-6080
Practice Address - Street 1:2190 NE PROFESSIONAL CT STE 250
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6988
Practice Address - Country:US
Practice Address - Phone:541-513-0500
Practice Address - Fax:541-385-6080
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR22141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical