Healthcare Provider Details

I. General information

NPI: 1801265053
Provider Name (Legal Business Name): DEBRA LYNN PUGH PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 NE STUCKI AVE STE 400
HILLSBORO OR
97006-6938
US

IV. Provider business mailing address

62682 E FLOWER RIDGE DR
TUCSON AZ
85739-2194
US

V. Phone/Fax

Practice location:
  • Phone: 971-350-3080
  • Fax: 206-501-4729
Mailing address:
  • Phone: 253-298-1560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60273070
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201804902NP-PP
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number255966
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: