DAVID PUNGERCAR
NPI 1700265147
Residential Treatment Facility, Emotionally Disturbed Children in Salem, OR
- Individual
- Male
- Residential Treatment Facility, Emotiona...
About DAVID PUNGERCAR
This page provides the complete NPI Profile along with additional information for David Pungercar, a provider established in Salem, Oregon with a medical specialization in Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1700265147 assigned on May 2015. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1700265147 Verify this NPI
- Provider Name
- DAVID PUNGERCAR
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4347 SUNNYVIEW RD. NE SALEM, OR 97305
- Location Phone
- (541) 956-4943
- Mailing Address
- 715 SW RAMSEY AVE GRANTS PASS, OR 97527
- Mailing Phone
- (541) 956-4943
- Mailing Fax
- (541) 956-5463
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-19-2015
- Last Update Date
- 05-19-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700265147, enumerated as an "individual" on May 19, 2015.
The provider is located at 4347 SUNNYVIEW RD. NE SALEM, OR 97305 and the phone number is (541) 956-4943.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
