Individual
MRS. LARISSA FUNK KRATZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
11750 SW BARNES ROAD, SUITE 300, PORTLAND, OR 97225-5911
(503) 416-9922
(503) 416-9971
Mailing address
11750 SW BARNES ROAD, SUITE 300, PORTLAND, OR 97225-5911
(503) 416-9922
(503) 416-9971
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200950115NP
OR
Other
Enumeration date
12/31/2007
Last updated
11/01/2012
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