Doctor Name: | DR. DUSTIN MATTHEW HUNDLEY |
NPI Number: | 1265812648 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., D.C. |
License Number: | 5649 |
Business Practice Address: | 1905 Mountain View Ln Ste 400 Forest Grove, OR - 971162264 |
Business Phone Number: | 5033572187 |
Business Fax Number: | |
Mailing Address: | 1809 Se Quail Cir, HILLSBORO |
State: | OR |
Postal Code: | 971235145 |
Phone Number: | 5037268103 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2015 |
NPI Last Update Date: | 06/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |