Individual
GENEVA FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MAIN ST, APT 20, FOREST GROVE, OR 97116-1470
(971) 340-9893
Mailing address
2715 MAIN ST, APT 20, FOREST GROVE, OR 97116-1470
(971) 340-9893
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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