Individual
ESTHER MICU FUNTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2801 ST ANTHONY WAY, PENDLETON, OR 97801-3800
(541) 278-6610
Mailing address
1211 SW 21ST ST APT 106, PENDLETON, OR 97801-4478
(541) 701-7661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6619
OR
Other
Enumeration date
05/29/2017
Last updated
05/29/2017
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