# FUNKXN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023998176
- **Authorized official:** LEO DONLEA (GENERAL MANAGER)
- **Authorized official phone:** (206) 963-3589

## Contact information

- **Practice address:** 710 NE HOLLADAY ST STE 150, PORTLAND, OR 97232-2168
- **Practice address phone:** (503) 542-2744
- **Practice address fax:** (877) 773-0291
- **Mailing address:** 710 NE HOLLADAY ST STE 150, PORTLAND, OR 97232-2168
- **Mailing address phone:** (503) 542-2744
- **Mailing address fax:** (877) 773-0291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2025
- **Last updated:** 04/20/2026