Individual
DAVID PUMAREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14355 N BYBEE LAKE CT, PORTLAND, OR 97203-6495
(503) 343-1999
Mailing address
14355 N BYBEE LAKE CT, PORTLAND, OR 97203-6495
(503) 343-1999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4500
OR
175T00000X
Peer Specialist
25-CRM-4427
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
04/15/2026
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