Individual
VIVIAN LEE PUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11286 SE STEVENS RD # A307, HAPPY VALLEY, OR 97086-7640
(503) 730-1049
Mailing address
11286 SE STEVENS RD # A307, HAPPY VALLEY, OR 97086-7640
(503) 730-1049
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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