Raynel J Hunt, D.C.
Individual provider Active NPI Chiropractor · Washougal, WA
NPI 1609973676 · NPPES record last updated Jul 15, 2013
Key facts
- NPI
- 1609973676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH 60096097 (WA)
- Practice address
- 1901 Main St
Washougal, WA 98671-4116 - Phone
- (360) 835-3150
- Fax
- (360) 835-0459
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1901 Main St
Washougal, WA 98671-4116
Phone (360) 835-3150
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110427000445 | WA | Practitioner - Chiropractic | 0042495558 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60096097 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washougal Chiropractic Center, Inc | Chiropractor | Current |
Accepting new patients |
| Clear Choice Chiropractic PC, Inc. | Chiropractor | Past |
Accepting new patients |
Locations
1901 Main St
Washougal, WA 98671
Phone (360) 583-4900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 60096097 | WA | Yes |
Addresses
Primary practice location
1901 Main St
Washougal, WA 98671-4116
Mailing address
PO Box 246
Washougal, WA 98671-0246
Phone (360) 835-3150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8899686 | Other | WA | MEDICARE UNSPECIFIED |
Other providers in Washougal, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.