Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID PUNGERCAR
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · SALEM, OR
Registration Details
- NPI Number
- 1700265147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2015 (10.925932876834 yrs)
- Last Updated
- May 19, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
4347 SUNNYVIEW RD. NESALEM, OR, 97305Browse OR providers · Browse ZIP 97305
- Phone
- 5419564943
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.