Individual
LIANA L FUNK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7927 SE ORIENT DR, GRESHAM, OR 97080
(503) 663-0332
(503) 663-1114
Mailing address
36557 SE TRACY RD, ESTACADA, OR 97023
(503) 630-7586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7316
OR
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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