Provider Demographics
NPI:1114063005
Name:HUNTER, ASH DAVID (LMP)
Entity Type:Individual
Prefix:
First Name:ASH
Middle Name:DAVID
Last Name:HUNTER
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 N 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-1839
Mailing Address - Country:US
Mailing Address - Phone:509-594-5002
Mailing Address - Fax:509-457-0775
Practice Address - Street 1:16 N 10TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3015
Practice Address - Country:US
Practice Address - Phone:509-594-5002
Practice Address - Fax:509-457-0775
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023279174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0178563OtherL&I GROUP #
WA0215687OtherL&I PROVIDER #