Individual
COURTNEY MAN-YEE FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1427 NW FLANDERS ST STE A, PORTLAND, OR 97209-2646
(503) 972-0235
Mailing address
2459 SE TUALATIN VALLEY HWY # 416, HILLSBORO, OR 97123-7919
(503) 972-0235
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
104650
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104650
—
OR
Enumeration date
03/19/2021
Last updated
03/19/2021
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