Individual
IRIS FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2200 NW MYHRE RD, SILVERDALE, WA 98383-7681
(360) 830-1100
(360) 830-1385
Mailing address
2200 NW MYHRE RD, SILVERDALE, WA 98383-7681
(360) 830-1100
(360) 830-1385
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD60573570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20461882
—
WA
01
—
344823
LNI
WA
01
—
P01527864
RR PTAN
WA
Enumeration date
06/10/2015
Last updated
04/15/2021
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