Individual
AMANDA PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18330 SW DELINE ST, BEAVERTON, OR 97078-3814
(602) 622-5917
Mailing address
5005 SW MURRAY BLVD APT 418, BEAVERTON, OR 97005-3629
(360) 402-6145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
08/25/2024
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