Provider Demographics
NPI:1437405271
Name:HUNTER, JAMIE LEE (QMHP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:WEISZHAAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC - IDAHO
Mailing Address - Street 1:20528 AVRO PL
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-1793
Mailing Address - Country:US
Mailing Address - Phone:208-836-2363
Mailing Address - Fax:
Practice Address - Street 1:365 NE COURT ST
Practice Address - Street 2:
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754-1936
Practice Address - Country:US
Practice Address - Phone:541-447-7441
Practice Address - Fax:541-416-2066
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4960101YM0800X
OR101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR283234Medicaid