Provider Demographics
NPI:1437605482
Name:HURST, TERRY ZACHARIAH (MSW)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:ZACHARIAH
Last Name:HURST
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92695 PEBBLE BEACH LN
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97448-9444
Mailing Address - Country:US
Mailing Address - Phone:541-653-8985
Mailing Address - Fax:
Practice Address - Street 1:92695 PEBBLE BEACH LANE
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OR
Practice Address - Zip Code:97448
Practice Address - Country:US
Practice Address - Phone:541-653-6777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker