Individual
ANNE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5257
Mailing address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
714
OR
Other
Enumeration date
12/08/2009
Last updated
12/16/2024
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