Individual
CAROLINE MAY-SAN FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9555 SW BARNES RD, STE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 384-9908
Mailing address
9555 SW BARNES RD, STE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 384-9908
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00763
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013208
—
WA
05
—
500604574
—
OR
Enumeration date
05/24/2005
Last updated
02/19/2013
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