Provider Demographics
NPI:1013724004
Name:MICHAEL YUNKER LLC
Entity type:Organization
Organization Name:MICHAEL YUNKER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:YUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:971-202-0063
Mailing Address - Street 1:2500 NE TWIN KNOLLS DR STE 260
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-4786
Mailing Address - Country:US
Mailing Address - Phone:971-202-0063
Mailing Address - Fax:
Practice Address - Street 1:2500 NE TWIN KNOLLS DR STE 260
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4786
Practice Address - Country:US
Practice Address - Phone:971-202-0063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty