Provider Demographics
NPI:1992461156
Name:HUNZIKER, KRISTIN (CMA (AAMA), QMHA-R)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:HUNZIKER
Suffix:
Gender:F
Credentials:CMA (AAMA), QMHA-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 SE CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4415
Mailing Address - Country:US
Mailing Address - Phone:757-343-4974
Mailing Address - Fax:503-747-0634
Practice Address - Street 1:1049 SW BASELINE ST STE D490
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-3857
Practice Address - Country:US
Practice Address - Phone:971-998-9747
Practice Address - Fax:503-747-0634
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health