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Organization

FUNKXN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEO DONLEA (GENERAL MANAGER)
(206) 963-3589
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
09/08/2025
Last updated
04/20/2026
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