Individual
JOSHUA DWAYNE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
384 Q ST, SPRINGFIELD, OR 97477-2140
(541) 514-4819
Mailing address
PO BOX 278, WALTERVILLE, OR 97489-0278
(541) 514-4819
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19747
OR
Other
Enumeration date
10/25/2017
Last updated
10/13/2023
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