Individual
PATRICIA FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 230, PORTLAND, OR 97227
(503) 413-4340
Mailing address
2800 N VANCOUVER AVE, SUITE 230, PORTLAND, OR 97227-1630
(503) 413-4340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO181702
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2015
Last updated
08/06/2018
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