Individual provider Active NPI

Mary K Hunt, PA-C

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1669413340
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA171057 Issued in OR
Practice address
2830 Crescent Ave
Eugene, OR 97408-7397
Phone
(541) 686-9000
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-504 ME
Physician Assistant 363A00000X PA171057 OR Primary

Addresses

Primary practice location

2830 Crescent Ave
Eugene, OR 97408-7397

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

600 Country Club Rd Ste 100
Eugene, OR 97401-2240
Phone (541) 463-2390

Other practice location 2

4920 N Interstate Ave
Portland, OR 97217-3653
Phone (503) 215-3300

Other practice location 3

11 Whitehall Rd
Rochester, NH 03867-3226
Phone (603) 332-3100 ext. 8772

Other identifiers 1

IdentifierTypeStateIssuer
500692180MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104002067 OR Practitioner - Physician Assistant 0244235281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

Practice addresses (Care Compare)

1740 NW Goetz St
Roseburg, OR 97471-1613
Phone (541) 672-4885

1841 E Barnett Rd
Medford, OR 97504-8249
Phone (541) 216-7291

2000 N 19TH St
Springfield, OR 97477-2526
Phone (541) 746-5437

598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473

600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
293NHMDPsychologist
PA-504MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Oct 1, 2025 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Oct 1, 2025 Accepting new patients
Frisbie Health Services Past Accepting new patients
Icco, LLC Past Accepting new patients

Locations

2830 Crescent Ave
Eugene, OR 97408
Phone (541) 636-9019

600 Country Club Rd
#100
Eugene, OR 97401
Phone (541) 228-3400

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: mhunt261261@westdirect.optum.com
  • Direct secure messaging: mhunt551726@oc.providencedirect.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1669413340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203",
            "fax_number": "702-838-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CRESCENT AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087397",
            "telephone_number": "541-686-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Country Club Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012240",
            "country_code": "US",
            "telephone_number": "541-463-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4920 N Interstate Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972173653",
            "country_code": "US",
            "telephone_number": "503-215-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Whitehall Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038673226",
            "country_code": "US",
            "telephone_number": "603-332-3100 x8772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA-504",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA171057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500692180",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.