Provider Demographics
NPI:1467666404
Name:HUNTER, ADRIANNE (LMP)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10208 317TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:CARNATION
Mailing Address - State:WA
Mailing Address - Zip Code:98014-9754
Mailing Address - Country:US
Mailing Address - Phone:425-443-1797
Mailing Address - Fax:
Practice Address - Street 1:1760 NEWPORT WAY NW
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5354
Practice Address - Country:US
Practice Address - Phone:425-313-8950
Practice Address - Fax:425-313-9491
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMAOOO22308174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist