IndividualActive
David Pungercar
NPI 1700265147 · Emotionally Disturbed Childrens' Residential Treatment Facility · Salem, OR
Provider details
- NPI number
- 1700265147
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4347 Sunnyview Rd. Ne
Salem, OR 97305
Phone: (541) 956-4943
Approximate (ZIP-level) locationGet directions
Mailing address
715 Sw Ramsey Ave
Grants Pass, OR 97527-5500
Registry dates
- Enumerated
- 2015-05-19
- Last updated
- 2015-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.