Individual
MISS SANDRA ELLEN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FRA
Contact information
Practice address
1334 OAK PATCH RD APT 87, EUGENE, OR 97402-3267
(541) 338-4836
Mailing address
1334 OAK PATCH RD APT 87, EUGENE, OR 97402-3267
(541) 338-4836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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