Pugmire, Jonathan Edward

Pugmire, Jonathan Edward is an individual health care provider with primary practice located at 633 Jason St Ne , Salem OR 97301-2750. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Pugmire, Jonathan Edward can be contacted via phone (503) 581-8636.

Contact Information

Primary practice address
633 Jason St Ne Salem OR 97301-2750
Phone: (503) 581-8636
Fax: (503) 581-1237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD 23534 Oregon
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD 23534 Oregon
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD60636844 Washington

Profile Details

NPI number 1033113055
LBN Legal business name Pugmire, Jonathan Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jan 19th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033113055 NPPES
Oregon MEDICAID 286501

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