DAVID PUNGERCAR

SALEM, OR
NPI1700265147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2015-05-19
Last Update Date2015-05-19
Business Address
-- DAVID PUNGERCAR
4347 SUNNYVIEW RD. NE
SALEM, OR 97305
Phone number: 541-956-4943
Mailing Address
-- DAVID PUNGERCAR
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943